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    1. Index
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    3. Profiles
    4. Communication

dft-preBallot - This is the first draft of the P-Care IG. For a full list of available versions, see the Directory of published versions

Communication

Links

Profile

communication

Derived from

http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core

Examples

Communication Example 1, Communication Example 2, Communication Example 3

Description

The P-Care profile for recording information that has been communicated.

References to this resource

PCareCommunication, PCareServiceRequest, PCareTask

Resource Content

  • Tree view
  • Overview
  • XML
  • JSON
PCareCommunication (Communication)CCommunicationCACore
There are no (further) constraints on this element
Element id
Communication
Short description

A record of information transmitted from a sender to a receiver

Definition

An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.

Data type

CommunicationCACore

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4: 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-3: 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-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
Mappings
  • rim: Entity. Role, or Act
  • workflow: Event
idΣ0..1id
There are no (further) constraints on this element
Element id
Communication.id
Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
metaO Σ0..1MetaElement id
Communication.meta
Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Communication.meta.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.meta.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
versionIdΣ0..1id
There are no (further) constraints on this element
Element id
Communication.meta.versionId
Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

id

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
lastUpdatedΣ0..1instant
There are no (further) constraints on this element
Element id
Communication.meta.lastUpdated
Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Data type

instant

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
sourceΣ0..1uri
There are no (further) constraints on this element
Element id
Communication.meta.source
Short description

Identifies where the resource comes from

Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
profileO Σ0..*canonical(StructureDefinition)Element id
Communication.meta.profile
Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

Implementers should be aware that some Canadian jurisdictions require vendors to use meta.profile to declare which FHIR profile(s) and version(s) the resource conforms to.

Data type

canonical(StructureDefinition)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
securityΣ0..*CodingBinding
There are no (further) constraints on this element
Element id
Communication.meta.security
Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Coding

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

AllSecurityLabels (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tagΣ0..*Coding
There are no (further) constraints on this element
Element id
Communication.meta.tag
Short description

Tags applied to this resource

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Coding

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
  • rim: CV
  • orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Communication.implicitRules
Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
language0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.language
Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
MaxValueSetAllLanguages
Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
text0..1Narrative
There are no (further) constraints on this element
Element id
Communication.text
Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id
Communication.contained
Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtension?! C0..*Extension
There are no (further) constraints on this element
Element id
Communication.modifierExtension
Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
identifierO Σ0..*IdentifierElement id
Communication.identifier
Short description

Unique identifier

Definition

Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

Requirements

Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Communication.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemO Σ0..1uriElement id
Communication.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
valueO Σ0..1stringElement id
Communication.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
instantiatesCanonicalΣ0..*canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire)
There are no (further) constraints on this element
Element id
Communication.instantiatesCanonical
Short description

Instantiates FHIR protocol or definition

Definition

The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.

Comments

see Canonical References

Data type

canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.instantiatesCanonical
  • rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUriΣ0..*uri
There are no (further) constraints on this element
Element id
Communication.instantiatesUri
Short description

Instantiates external protocol or definition

Definition

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.

Comments

This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.instantiatesUri
  • rim: .outboundRelationship[typeCode=DEFN].target
basedOnSO Σ C1..1Reference(PCareServiceRequest)Element id
Communication.basedOn
Short description

Request fulfilled by this communication

Alternate names

fulfills

Definition

An order, proposal or plan fulfilled in whole or in part by this Communication.

Comments

This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.

Data type

Reference(PCareServiceRequest)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.basedOn
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.basedOn.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C0..1stringElement id
Communication.basedOn.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.basedOn.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierSO Σ0..1IdentifierElement id
Communication.basedOn.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useO Σ ?!1..1codeBindingElement id
Communication.basedOn.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uriElement id
Communication.basedOn.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
valueSO Σ1..1stringElement id
Communication.basedOn.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
partOfΣ C0..*Reference(Resource)
There are no (further) constraints on this element
Element id
Communication.partOf
Short description

Part of this action

Alternate names

container

Definition

Part of this action.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.partOf
inResponseToSO C0..*Reference(PCareCommunication)Element id
Communication.inResponseTo
Short description

Reply to

Definition

Prior communication that this communication is in response to.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCareCommunication)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
statusSO Σ ?! C1..1codeBindingElement id
Communication.status
Short description

preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown

Definition

The status of the transmission.

Comments

This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.

Data type

code

Binding

The status of the communication.

EventStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • pcare-com-1: Communication.status is expected to equal 'completed' for CA:eReC compatibility.
    $this = 'completed'
Mappings
  • rim: n/a
  • workflow: Event.status
  • w5: FiveWs.status
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
statusReasonΣ0..1CodeableConcept
There are no (further) constraints on this element
Element id
Communication.statusReason
Short description

Reason for current status

Alternate names

Suspended Reason, Cancelled Reason

Definition

Captures the reason for the current state of the Communication.

Comments

This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.

Data type

CodeableConcept

Binding

Codes for the reason why a communication did not happen.

CommunicationNotDoneReason (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.statusReason
categoryO0..*CodeableConceptCACoreBindingElement id
Communication.category
Short description

Concept - reference to a terminology or just text

Definition

A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConceptCACore

Binding

Codes for general categories of communications such as alerts, instructions, etc.

PCareReferralCommunicationCategory (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.class
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
priorityΣ0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.priority
Short description

routine | urgent | asap | stat

Definition

Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.

Comments

Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.

Meaning when missing

If missing, this communication should be treated with normal priority

Data type

code

Binding

Codes indicating the relative importance of a communication.

RequestPriority (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.grade
medium0..*CodeableConcept
There are no (further) constraints on this element
Element id
Communication.medium
Short description

A channel of communication

Definition

A channel that was used for this communication (e.g. email, fax).

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConcept

Binding

Codes for communication mediums such as phone, fax, email, in person, etc.

ParticipationMode (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
subjectSO Σ C0..1Reference(PCarePatient)Element id
Communication.subject
Short description

Focus of message

Alternate names

patient

Definition

The patient or group that was the focus of this communication.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCarePatient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.subject
  • w5: FiveWs.subject[x]
  • w5: FiveWs.subject
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.subject.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.subject.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceSO Σ C0..1stringElement id
Communication.subject.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.subject.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierSO Σ0..1IdentifierElement id
Communication.subject.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.subject.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.subject.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.subject.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.subject.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uriElement id
Communication.subject.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
valueSO Σ1..1stringElement id
Communication.subject.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.subject.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.subject.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.subject.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
topic0..1CodeableConcept
There are no (further) constraints on this element
Element id
Communication.topic
Short description

Description of the purpose/content

Definition

Description of the purpose/content, similar to a subject line in an email.

Comments

Communication.topic.text can be used without any codings.

Data type

CodeableConcept

Binding

Codes describing the purpose or content of the communication.

CommunicationTopic (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.context
aboutC0..*Reference(Resource)
There are no (further) constraints on this element
Element id
Communication.about
Short description

Resources that pertain to this communication

Definition

Other resources that pertain to this communication and to which this communication should be associated.

Comments

Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.context
encounterΣ C0..1Reference(EncounterCACore)
There are no (further) constraints on this element
Element id
Communication.encounter
Short description

Encounter created as part of

Definition

The Encounter during which this Communication was created or to which the creation of this record is tightly associated.

Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.

Data type

Reference(EncounterCACore)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.context
  • w5: FiveWs.context
sentSO0..1dateTimeElement id
Communication.sent
Short description

When sent

Definition

The time when this communication was sent.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x] {Invariant: maps to period.start}
  • w5: FiveWs.done[x]
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
receivedSO0..1dateTimeElement id
Communication.received
Short description

When received

Definition

The time when this communication arrived at the destination.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x] {Invariant: maps to period.end}
  • w5: FiveWs.done[x]
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
recipientO C0..*Reference(HealthcareServiceCACore | OrganizationCACore | PatientCACore | PractitionerCACore | PractitionerRoleCACore)Element id
Communication.recipient
Short description

Message recipient

Definition

The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(HealthcareServiceCACore | OrganizationCACore | PatientCACore | PractitionerCACore | PractitionerRoleCACore)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.performer.actor
  • w5: FiveWs.actor
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.recipient.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C0..1stringElement id
Communication.recipient.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.recipient.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierO Σ0..1IdentifierElement id
Communication.recipient.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
id0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemO Σ0..1uriElement id
Communication.recipient.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
valueO Σ0..1stringElement id
Communication.recipient.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
senderSO C0..1Reference(PCareHealthcareService | PCarePractitionerRole)Element id
Communication.sender
Short description

Message sender

Definition

The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCareHealthcareService | PCarePractitionerRole)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.performer.actor
  • w5: FiveWs.actor
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.sender.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.sender.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceSO Σ C0..1stringElement id
Communication.sender.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.sender.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierSO Σ0..1IdentifierElement id
Communication.sender.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.sender.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.sender.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.sender.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.sender.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uriElement id
Communication.sender.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
valueSO Σ1..1stringElement id
Communication.sender.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.sender.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.sender.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.sender.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
reasonCodeΣ0..*CodeableConcept
There are no (further) constraints on this element
Element id
Communication.reasonCode
Short description

Indication for message

Definition

The reason or justification for the communication.

Comments

Textual reasons can be captured using reasonCode.text.

Data type

CodeableConcept

Binding

Codes for describing reasons for the occurrence of a communication.

SNOMEDCTClinicalFindings (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.reasonCode
  • w5: FiveWs.why[x]
  • rim: .reasonCode
reasonReferenceΣ C0..*Reference(ConditionCACore | DiagnosticReportCACore | DocumentReferenceCACore | Observation)
There are no (further) constraints on this element
Element id
Communication.reasonReference
Short description

Why was communication done?

Definition

Indicates another resource whose existence justifies this communication.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(ConditionCACore | DiagnosticReportCACore | DocumentReferenceCACore | Observation)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.reasonReference
  • w5: FiveWs.why[x]
  • rim: .outboundRelationship[typeCode=RSON].target
payloadSO0..*BackboneElementElement id
Communication.payload
Short description

Message payload

Definition

Text, attachment(s), or resource(s) that was communicated to the recipient.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
id0..1string
There are no (further) constraints on this element
Element id
Communication.payload.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.payload.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Communication.payload.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
content[x]SO1..1Element id
Communication.payload.content[x]
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
contentReferenceSO0..1Reference(PCareDocumentReference)Element id
Communication.payload.content[x]:contentReference
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Data type

Reference(PCareDocumentReference)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
contentStringSO0..1stringElement id
Communication.payload.content[x]:contentString
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
contentAttachmentSO0..1AttachmentElement id
Communication.payload.content[x]:contentAttachment
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Data type

Attachment

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
NameCodeDocumentationActor
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer
note0..*Annotation
There are no (further) constraints on this element
Element id
Communication.note
Short description

Comments made about the communication

Definition

Additional notes or commentary about the communication by the sender, receiver or other interested parties.

Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Data type

Annotation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act
  • workflow: Event.note
PCareCommunication (Communication)CCommunicationCACore
There are no (further) constraints on this element
Element id
Communication
Short description

A record of information transmitted from a sender to a receiver

Definition

An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.

Data type

CommunicationCACore

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-4: 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-3: 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-6: A resource should have narrative for robust management
    text.`div`.exists()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
Mappings
  • rim: Entity. Role, or Act
  • workflow: Event
idΣ0..1id
There are no (further) constraints on this element
Element id
Communication.id
Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
metaO Σ0..1Meta
There are no (further) constraints on this element
Element id
Communication.meta
Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Communication.meta.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.meta.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
versionIdΣ0..1id
There are no (further) constraints on this element
Element id
Communication.meta.versionId
Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

id

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
lastUpdatedΣ0..1instant
There are no (further) constraints on this element
Element id
Communication.meta.lastUpdated
Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Data type

instant

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
sourceΣ0..1uri
There are no (further) constraints on this element
Element id
Communication.meta.source
Short description

Identifies where the resource comes from

Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
profileO Σ0..*canonical(StructureDefinition)
There are no (further) constraints on this element
Element id
Communication.meta.profile
Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

Implementers should be aware that some Canadian jurisdictions require vendors to use meta.profile to declare which FHIR profile(s) and version(s) the resource conforms to.

Data type

canonical(StructureDefinition)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
securityΣ0..*CodingBinding
There are no (further) constraints on this element
Element id
Communication.meta.security
Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Coding

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

All Security Labels (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
tagΣ0..*Coding
There are no (further) constraints on this element
Element id
Communication.meta.tag
Short description

Tags applied to this resource

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Coding

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
implicitRulesΣ ?!0..1uri
There are no (further) constraints on this element
Element id
Communication.implicitRules
Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
language0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.language
Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions
MaxValueSetAllLanguages
Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
text0..1Narrative
There are no (further) constraints on this element
Element id
Communication.text
Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id
Communication.contained
Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings
  • rim: Entity. Role, or Act
  • rim: N/A
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtension?! C0..*Extension
There are no (further) constraints on this element
Element id
Communication.modifierExtension
Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
identifierO Σ0..*Identifier
There are no (further) constraints on this element
Element id
Communication.identifier
Short description

Unique identifier

Definition

Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

Requirements

Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.

Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • workflow: Event.identifier
  • w5: FiveWs.identifier
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Communication.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.5
  • rim: Role.code or implied by context
systemO Σ0..1uri
There are no (further) constraints on this element
Element id
Communication.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
valueO Σ0..1string
There are no (further) constraints on this element
Element id
Communication.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
periodΣ0..1Period
There are no (further) constraints on this element
Element id
Communication.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
instantiatesCanonicalΣ0..*canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire)
There are no (further) constraints on this element
Element id
Communication.instantiatesCanonical
Short description

Instantiates FHIR protocol or definition

Definition

The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.

Comments

see Canonical References

Data type

canonical(ActivityDefinition | Measure | OperationDefinition | PlanDefinition | Questionnaire)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.instantiatesCanonical
  • rim: .outboundRelationship[typeCode=DEFN].target
instantiatesUriΣ0..*uri
There are no (further) constraints on this element
Element id
Communication.instantiatesUri
Short description

Instantiates external protocol or definition

Definition

The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.

Comments

This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.instantiatesUri
  • rim: .outboundRelationship[typeCode=DEFN].target
basedOnSO Σ C1..1Reference(PCareServiceRequest)
There are no (further) constraints on this element
Element id
Communication.basedOn
Short description

Request fulfilled by this communication

Alternate names

fulfills

Definition

An order, proposal or plan fulfilled in whole or in part by this Communication.

Comments

This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.

Data type

Reference(PCareServiceRequest)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.basedOn
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.basedOn.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceO Σ C0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.basedOn.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierSO Σ0..1Identifier
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useO Σ ?!1..1codeBinding
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uri
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

valueSO Σ1..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.basedOn.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.basedOn.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
partOfΣ C0..*Reference(Resource)
There are no (further) constraints on this element
Element id
Communication.partOf
Short description

Part of this action

Alternate names

container

Definition

Part of this action.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.partOf
inResponseToSO C0..*Reference(PCareCommunication)
There are no (further) constraints on this element
Element id
Communication.inResponseTo
Short description

Reply to

Definition

Prior communication that this communication is in response to.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCareCommunication)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

statusSO Σ ?! C1..1codeBinding
There are no (further) constraints on this element
Element id
Communication.status
Short description

preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown

Definition

The status of the transmission.

Comments

This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.

Data type

code

Binding

The status of the communication.

EventStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • pcare-com-1: Communication.status is expected to equal 'completed' for CA:eReC compatibility.
    $this = 'completed'
Mappings
  • rim: n/a
  • workflow: Event.status
  • w5: FiveWs.status
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

statusReasonΣ0..1CodeableConcept
There are no (further) constraints on this element
Element id
Communication.statusReason
Short description

Reason for current status

Alternate names

Suspended Reason, Cancelled Reason

Definition

Captures the reason for the current state of the Communication.

Comments

This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here.

Data type

CodeableConcept

Binding

Codes for the reason why a communication did not happen.

CommunicationNotDoneReason (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.statusReason
categoryO0..*CodeableConceptCACoreBinding
There are no (further) constraints on this element
Element id
Communication.category
Short description

Concept - reference to a terminology or just text

Definition

A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConceptCACore

Binding

PCareReferralCommunicationCategory (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.class
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
priorityΣ0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.priority
Short description

routine | urgent | asap | stat

Definition

Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.

Comments

Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.

Meaning when missing

If missing, this communication should be treated with normal priority

Data type

code

Binding

Codes indicating the relative importance of a communication.

RequestPriority (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • w5: FiveWs.grade
medium0..*CodeableConcept
There are no (further) constraints on this element
Element id
Communication.medium
Short description

A channel of communication

Definition

A channel that was used for this communication (e.g. email, fax).

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

CodeableConcept

Binding

Codes for communication mediums such as phone, fax, email, in person, etc.

ParticipationMode (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
subjectSO Σ C0..1Reference(PCarePatient)
There are no (further) constraints on this element
Element id
Communication.subject
Short description

Focus of message

Alternate names

patient

Definition

The patient or group that was the focus of this communication.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCarePatient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.subject
  • w5: FiveWs.subject[x]
  • w5: FiveWs.subject
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.subject.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.subject.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceSO Σ C0..1string
There are no (further) constraints on this element
Element id
Communication.subject.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.subject.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierSO Σ0..1Identifier
There are no (further) constraints on this element
Element id
Communication.subject.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.subject.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.subject.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.subject.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.subject.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uri
There are no (further) constraints on this element
Element id
Communication.subject.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

valueSO Σ1..1string
There are no (further) constraints on this element
Element id
Communication.subject.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.subject.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.subject.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.subject.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
topic0..1CodeableConcept
There are no (further) constraints on this element
Element id
Communication.topic
Short description

Description of the purpose/content

Definition

Description of the purpose/content, similar to a subject line in an email.

Comments

Communication.topic.text can be used without any codings.

Data type

CodeableConcept

Binding

Codes describing the purpose or content of the communication.

CommunicationTopic (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • w5: FiveWs.context
aboutC0..*Reference(Resource)
There are no (further) constraints on this element
Element id
Communication.about
Short description

Resources that pertain to this communication

Definition

Other resources that pertain to this communication and to which this communication should be associated.

Comments

Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • w5: FiveWs.context
encounterΣ C0..1Reference(EncounterCACore)
There are no (further) constraints on this element
Element id
Communication.encounter
Short description

Encounter created as part of

Definition

The Encounter during which this Communication was created or to which the creation of this record is tightly associated.

Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.

Data type

Reference(EncounterCACore)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.context
  • w5: FiveWs.context
sentSO0..1dateTime
There are no (further) constraints on this element
Element id
Communication.sent
Short description

When sent

Definition

The time when this communication was sent.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x] {Invariant: maps to period.start}
  • w5: FiveWs.done[x]
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

receivedSO0..1dateTime
There are no (further) constraints on this element
Element id
Communication.received
Short description

When received

Definition

The time when this communication arrived at the destination.

Data type

dateTime

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • workflow: Event.occurrence[x] {Invariant: maps to period.end}
  • w5: FiveWs.done[x]
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

recipientO C0..*Reference(HealthcareServiceCACore | OrganizationCACore | PatientCACore | PractitionerCACore | PractitionerRoleCACore)
There are no (further) constraints on this element
Element id
Communication.recipient
Short description

Message recipient

Definition

The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(HealthcareServiceCACore | OrganizationCACore | PatientCACore | PractitionerCACore | PractitionerRoleCACore)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.performer.actor
  • w5: FiveWs.actor
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.recipient.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
referenceO Σ C0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.recipient.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
identifierO Σ0..1Identifier
There are no (further) constraints on this element
Element id
Communication.recipient.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .identifier
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
id0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.5
  • rim: Role.code or implied by context
systemO Σ0..1uri
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
valueO Σ0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
NameCodeDocumentationActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-source
pcareSHALL:populate
SHALL:persist
SHALL:no-error

P-Care server population, persistence, and acceptance requirements for this element.

http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
periodΣ0..1Period
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.recipient.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.recipient.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: N/A
senderSO C0..1Reference(PCareHealthcareService | PCarePractitionerRole)
There are no (further) constraints on this element
Element id
Communication.sender
Short description

Message sender

Definition

The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(PCareHealthcareService | PCarePractitionerRole)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.performer.actor
  • w5: FiveWs.actor
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.sender.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.sender.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
referenceSO Σ C0..1string
There are no (further) constraints on this element
Element id
Communication.sender.reference
Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

typeΣ0..1uriBinding
There are no (further) constraints on this element
Element id
Communication.sender.type
Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

uri

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
identifierSO Σ0..1Identifier
There are no (further) constraints on this element
Element id
Communication.sender.identifier
Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Identifier

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
  • rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
  • servd: Identifier
  • rim: .identifier
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.sender.identifier.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.sender.identifier.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id
Communication.sender.identifier.use
Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Role.code or implied by context
typeΣ0..1CodeableConceptBinding
There are no (further) constraints on this element
Element id
Communication.sender.identifier.type
Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

IdentifierTypeCodes (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • v2: CX.5
  • rim: Role.code or implied by context
systemSO Σ1..1uri
There are no (further) constraints on this element
Element id
Communication.sender.identifier.system
Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
http://www.acme.com/identifiers/patient
Mappings
  • rim: n/a
  • v2: CX.4 / EI-2-4
  • rim: II.root or Role.id.root
  • servd: ./IdentifierType
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

valueSO Σ1..1string
There are no (further) constraints on this element
Element id
Communication.sender.identifier.value
Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Examples
General
123456
Mappings
  • rim: n/a
  • v2: CX.1 / EI.1
  • rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
  • servd: ./Value
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

periodΣ C0..1Period
There are no (further) constraints on this element
Element id
Communication.sender.identifier.period
Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Period

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • per-1: If present, start SHALL have a lower value than end
    start.hasValue().not() or end.hasValue().not() or (start <= end)
Mappings
  • rim: n/a
  • v2: DR
  • rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
  • v2: CX.7 + CX.8
  • rim: Role.effectiveTime or implied by context
  • servd: ./StartDate and ./EndDate
assignerΣ C0..1Reference(Organization)
There are no (further) constraints on this element
Element id
Communication.sender.identifier.assigner
Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • v2: CX.4 / (CX.4,CX.9,CX.10)
  • rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • servd: ./IdentifierIssuingAuthority
displayΣ0..1string
There are no (further) constraints on this element
Element id
Communication.sender.display
Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • rim: N/A
reasonCodeΣ0..*CodeableConcept
There are no (further) constraints on this element
Element id
Communication.reasonCode
Short description

Indication for message

Definition

The reason or justification for the communication.

Comments

Textual reasons can be captured using reasonCode.text.

Data type

CodeableConcept

Binding

Codes for describing reasons for the occurrence of a communication.

SNOMEDCTClinicalFindings (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
  • workflow: Event.reasonCode
  • w5: FiveWs.why[x]
  • rim: .reasonCode
reasonReferenceΣ C0..*Reference(ConditionCACore | DiagnosticReportCACore | DocumentReferenceCACore | Observation)
There are no (further) constraints on this element
Element id
Communication.reasonReference
Short description

Why was communication done?

Definition

Indicates another resource whose existence justifies this communication.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(ConditionCACore | DiagnosticReportCACore | DocumentReferenceCACore | Observation)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ref-1: SHALL have a contained resource if a local reference is provided
    reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
Mappings
  • rim: n/a
  • rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
  • workflow: Event.reasonReference
  • w5: FiveWs.why[x]
  • rim: .outboundRelationship[typeCode=RSON].target
payloadSO0..*BackboneElement
There are no (further) constraints on this element
Element id
Communication.payload
Short description

Message payload

Definition

Text, attachment(s), or resource(s) that was communicated to the recipient.

Data type

BackboneElement

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

id0..1string
There are no (further) constraints on this element
Element id
Communication.payload.id
Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionC0..*Extension
There are no (further) constraints on this element
Element id
Communication.payload.extension
Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
modifierExtensionΣ ?! C0..*Extension
There are no (further) constraints on this element
Element id
Communication.payload.modifierExtension
Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
content[x]SO1..1
There are no (further) constraints on this element
Element id
Communication.payload.content[x]
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Slicing

Unordered, Closed, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

contentReferenceSO0..1Reference(PCareDocumentReference)
There are no (further) constraints on this element
Element id
Communication.payload.content[x]:contentReference
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Data type

Reference(PCareDocumentReference)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

contentStringSO0..1string
There are no (further) constraints on this element
Element id
Communication.payload.content[x]:contentString
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Data type

string

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

contentAttachmentSO0..1Attachment
There are no (further) constraints on this element
Element id
Communication.payload.content[x]:contentAttachment
Short description

Message part content

Definition

A communicated content (or for multi-part communications, one portion of the communication).

Data type

Attachment

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
Obligations
CodeActorHttp://hl7.org/fhir/tools/StructureDefinition/snapshot-sourceNameDocumentation
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0
SHALL:populate-if-knownhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0
SHALL:populate
SHALL:persist
SHALL:no-error		http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverhttp://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0pcare

P-Care server population, persistence, and acceptance requirements for this element.

note0..*Annotation
There are no (further) constraints on this element
Element id
Communication.note
Short description

Comments made about the communication

Definition

Additional notes or commentary about the communication by the sender, receiver or other interested parties.

Comments

For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).

Data type

Annotation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: N/A
  • rim: Act
  • workflow: Event.note
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="communication" />
<text>
<status value="extensions" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<url value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication" />
<version value="0.1.0" />
<name value="PCareCommunication" />
<title value="P-Care Communication" />
<status value="draft" />
<date value="2026-10-19T22:14:59+00:00" />
<publisher value="Infoway" />
<description value="The P-Care profile for recording information that has been communicated." />
<fhirVersion value="4.0.1" />
<kind value="resource" />
<abstract value="false" />
<type value="Communication" />
<baseDefinition value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core" />
<derivation value="constraint" />
<snapshot>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="1.1.0" />
</extension>
<element id="Communication">
<path value="Communication" />
<short value="A record of information transmitted from a sender to a receiver" />
<definition value="An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication" />
<min value="0" />
<max value="*" />
</base>
<constraint>
<key value="dom-2" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
<expression value="contained.contained.empty()" />
<xpath value="not(parent::f:contained and f:contained)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<key value="dom-4" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<key value="dom-3" />
<severity value="error" />
<human value="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" />
<expression value="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()" />
<xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
</extension>
<key value="dom-6" />
<severity value="warning" />
<human value="A resource should have narrative for robust management" />
<expression value="text.`div`.exists()" />
<xpath value="exists(f:text/h:div)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<constraint>
<key value="dom-5" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
<expression value="contained.meta.security.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:security))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<mapping>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event" />
</mapping>
</element>
<element id="Communication.id">
<path value="Communication.id" />
<short value="Logical id of this artifact" />
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.meta">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.meta" />
<short value="Metadata about the resource" />
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.meta" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Meta" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.meta.id">
<path value="Communication.meta.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.meta.extension">
<path value="Communication.meta.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.meta.versionId">
<path value="Communication.meta.versionId" />
<short value="Version specific identifier" />
<definition value="The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." />
<comment value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." />
<min value="0" />
<max value="1" />
<base>
<path value="Meta.versionId" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="id" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Communication.meta.lastUpdated">
<path value="Communication.meta.lastUpdated" />
<short value="When the resource version last changed" />
<definition value="When the resource last changed - e.g. when the version changed." />
<comment value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction." />
<min value="0" />
<max value="1" />
<base>
<path value="Meta.lastUpdated" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="instant" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Communication.meta.source">
<path value="Communication.meta.source" />
<short value="Identifies where the resource comes from" />
<definition value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." />
<comment value="In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." />
<min value="0" />
<max value="1" />
<base>
<path value="Meta.source" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Communication.meta.profile">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.meta.profile" />
<short value="Profiles this resource claims to conform to" />
<definition value="A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url)." />
<comment value="Implementers should be aware that some Canadian jurisdictions require vendors to use meta.profile to declare which FHIR profile(s) and version(s) the resource conforms to." />
<min value="0" />
<max value="*" />
<base>
<path value="Meta.profile" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="canonical" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
</element>
<element id="Communication.meta.security">
<path value="Communication.meta.security" />
<short value="Security Labels applied to this resource" />
<definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." />
<comment value="The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." />
<min value="0" />
<max value="*" />
<base>
<path value="Meta.security" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Coding" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SecurityLabels" />
</extension>
<strength value="extensible" />
<description value="Security Labels from the Healthcare Privacy and Security Classification System." />
<valueSet value="http://hl7.org/fhir/ValueSet/security-labels|4.0.1" />
</binding>
</element>
<element id="Communication.meta.tag">
<path value="Communication.meta.tag" />
<short value="Tags applied to this resource" />
<definition value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." />
<comment value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." />
<min value="0" />
<max value="*" />
<base>
<path value="Meta.tag" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Coding" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Tags" />
</extension>
<strength value="example" />
<description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"." />
<valueSet value="http://hl7.org/fhir/ValueSet/common-tags|4.0.1" />
</binding>
</element>
<element id="Communication.implicitRules">
<path value="Communication.implicitRules" />
<short value="A set of rules under which this content was created" />
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
<comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.implicitRules" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.language">
<path value="Communication.language" />
<short value="Language of the resource content" />
<definition value="The base language in which the resource is written." />
<comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
<min value="0" />
<max value="1" />
<base>
<path value="Resource.language" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language" />
</extension>
<strength value="preferred" />
<description value="A human language." />
<valueSet value="http://hl7.org/fhir/ValueSet/languages" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.text">
<path value="Communication.text" />
<short value="Text summary of the resource, for human interpretation" />
<definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
<comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." />
<alias value="narrative" />
<alias value="html" />
<alias value="xhtml" />
<alias value="display" />
<min value="0" />
<max value="1" />
<base>
<path value="DomainResource.text" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Narrative" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Act.text?" />
</mapping>
</element>
<element id="Communication.contained">
<path value="Communication.contained" />
<short value="Contained, inline Resources" />
<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
<comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." />
<alias value="inline resources" />
<alias value="anonymous resources" />
<alias value="contained resources" />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.contained" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Resource" />
</type>
<mapping>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.extension">
<path value="Communication.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.modifierExtension">
<path value="Communication.modifierExtension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Extensions that cannot be ignored" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="DomainResource.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.identifier" />
<short value="Unique identifier" />
<definition value="Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server." />
<comment value="This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number." />
<requirements value="Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.identifier" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" />
</mapping>
<mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.identifier" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.identifier" />
</mapping>
</element>
<element id="Communication.identifier.id">
<path value="Communication.identifier.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.identifier.extension">
<path value="Communication.identifier.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.identifier.use">
<path value="Communication.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.use" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse" />
</extension>
<strength value="required" />
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.identifier.type">
<path value="Communication.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType" />
</extension>
<strength value="extensible" />
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|4.0.1" />
</binding>
<mapping>
<identity value="v2" />
<map value="CX.5" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<example>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.4 / EI-2-4" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.root or Role.id.root" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Communication.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<example>
<label value="General" />
<valueString value="123456" />
</example>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.1 / EI.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./Value" />
</mapping>
</element>
<element id="Communication.identifier.period">
<path value="Communication.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.7 + CX.8" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.effectiveTime or implied by context" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Communication.identifier.assigner">
<path value="Communication.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.assigner" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<element id="Communication.instantiatesCanonical">
<path value="Communication.instantiatesCanonical" />
<short value="Instantiates FHIR protocol or definition" />
<definition value="The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication." />
<comment value="see [Canonical References](http://hl7.org/fhir/R4/references.html#canonical)" />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.instantiatesCanonical" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="canonical" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Measure" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/OperationDefinition" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Questionnaire" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.instantiatesCanonical" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode=DEFN].target" />
</mapping>
</element>
<element id="Communication.instantiatesUri">
<path value="Communication.instantiatesUri" />
<short value="Instantiates external protocol or definition" />
<definition value="The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication." />
<comment value="This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.instantiatesUri" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="uri" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.instantiatesUri" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode=DEFN].target" />
</mapping>
</element>
<element id="Communication.basedOn">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.basedOn" />
<short value="Request fulfilled by this communication" />
<definition value="An order, proposal or plan fulfilled in whole or in part by this Communication." />
<comment value="This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc." />
<alias value="fulfills" />
<min value="1" />
<max value="1" />
<base>
<path value="Communication.basedOn" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/service-request" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.basedOn" />
</mapping>
</element>
<element id="Communication.basedOn.id">
<path value="Communication.basedOn.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.basedOn.extension">
<path value="Communication.basedOn.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.basedOn.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.basedOn.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.basedOn.type">
<path value="Communication.basedOn.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.basedOn.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.basedOn.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" />
</mapping>
<mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.id">
<path value="Communication.basedOn.identifier.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.extension">
<path value="Communication.basedOn.identifier.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.use">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.basedOn.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.use" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse" />
</extension>
<strength value="required" />
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.type">
<path value="Communication.basedOn.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType" />
</extension>
<strength value="extensible" />
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.5" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.basedOn.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<example>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.4 / EI-2-4" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.root or Role.id.root" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.basedOn.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<example>
<label value="General" />
<valueString value="123456" />
</example>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.1 / EI.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./Value" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.period">
<path value="Communication.basedOn.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="per-1" />
<severity value="error" />
<human value="If present, start SHALL have a lower value than end" />
<expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" />
<xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" />
<source value="http://hl7.org/fhir/StructureDefinition/Period" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="DR" />
</mapping>
<mapping>
<identity value="rim" />
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.7 + CX.8" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.effectiveTime or implied by context" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Communication.basedOn.identifier.assigner">
<path value="Communication.basedOn.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.assigner" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<element id="Communication.basedOn.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Communication.basedOn.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.partOf">
<path value="Communication.partOf" />
<short value="Part of this action" />
<definition value="Part of this action." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<alias value="container" />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.partOf" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.partOf" />
</mapping>
</element>
<element id="Communication.inResponseTo">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.inResponseTo" />
<short value="Reply to" />
<definition value="Prior communication that this communication is in response to." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.inResponseTo" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
</element>
<element id="Communication.status">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.status" />
<short value="preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown" />
<definition value="The status of the transmission." />
<comment value="This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid." />
<min value="1" />
<max value="1" />
<base>
<path value="Communication.status" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="pcare-com-1" />
<severity value="warning" />
<human value="Communication.status is expected to equal 'completed' for CA:eReC compatibility." />
<expression value="$this = 'completed'" />
<source value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication" />
</constraint>
<mustSupport value="true" />
<isModifier value="true" />
<isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationStatus" />
</extension>
<strength value="required" />
<description value="The status of the communication." />
<valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.status" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.status" />
</mapping>
</element>
<element id="Communication.statusReason">
<path value="Communication.statusReason" />
<short value="Reason for current status" />
<definition value="Captures the reason for the current state of the Communication." />
<comment value="This is generally only used for "exception" statuses such as "not-done", "suspended" or "aborted". The reason for performing the event at all is captured in reasonCode, not here." />
<alias value="Suspended Reason" />
<alias value="Cancelled Reason" />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.statusReason" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationNotDoneReason" />
</extension>
<strength value="example" />
<description value="Codes for the reason why a communication did not happen." />
<valueSet value="http://hl7.org/fhir/ValueSet/communication-not-done-reason" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.statusReason" />
</mapping>
</element>
<element id="Communication.category">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.category" />
<short value="Concept - reference to a terminology or just text" />
<definition value="A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text." />
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.category" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="CodeableConcept" />
<profile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationCategory" />
</extension>
<strength value="extensible" />
<valueSet value="http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-referral-communication-category" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.class" />
</mapping>
</element>
<element id="Communication.priority">
<path value="Communication.priority" />
<short value="routine | urgent | asap | stat" />
<definition value="Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine." />
<comment value="Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.priority" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<meaningWhenMissing value="If missing, this communication should be treated with normal priority" />
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationPriority" />
</extension>
<strength value="required" />
<description value="Codes indicating the relative importance of a communication." />
<valueSet value="http://hl7.org/fhir/ValueSet/request-priority|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.grade" />
</mapping>
</element>
<element id="Communication.medium">
<path value="Communication.medium" />
<short value="A channel of communication" />
<definition value="A channel that was used for this communication (e.g. email, fax)." />
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.medium" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationMedium" />
</extension>
<strength value="example" />
<description value="Codes for communication mediums such as phone, fax, email, in person, etc." />
<valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
</element>
<element id="Communication.subject">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.subject" />
<short value="Focus of message" />
<definition value="The patient or group that was the focus of this communication." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<alias value="patient" />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.subject" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.subject" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.subject[x]" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.subject" />
</mapping>
</element>
<element id="Communication.subject.id">
<path value="Communication.subject.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.subject.extension">
<path value="Communication.subject.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.subject.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.subject.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.subject.type">
<path value="Communication.subject.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.subject.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.subject.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" />
</mapping>
<mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Communication.subject.identifier.id">
<path value="Communication.subject.identifier.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.subject.identifier.extension">
<path value="Communication.subject.identifier.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.subject.identifier.use">
<path value="Communication.subject.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.use" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse" />
</extension>
<strength value="required" />
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.subject.identifier.type">
<path value="Communication.subject.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType" />
</extension>
<strength value="extensible" />
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.5" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.subject.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.subject.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<example>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.4 / EI-2-4" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.root or Role.id.root" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Communication.subject.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.subject.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<example>
<label value="General" />
<valueString value="123456" />
</example>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.1 / EI.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./Value" />
</mapping>
</element>
<element id="Communication.subject.identifier.period">
<path value="Communication.subject.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="per-1" />
<severity value="error" />
<human value="If present, start SHALL have a lower value than end" />
<expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" />
<xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" />
<source value="http://hl7.org/fhir/StructureDefinition/Period" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="DR" />
</mapping>
<mapping>
<identity value="rim" />
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.7 + CX.8" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.effectiveTime or implied by context" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Communication.subject.identifier.assigner">
<path value="Communication.subject.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.assigner" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<element id="Communication.subject.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Communication.subject.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.topic">
<path value="Communication.topic" />
<short value="Description of the purpose/content" />
<definition value="Description of the purpose/content, similar to a subject line in an email." />
<comment value="Communication.topic.text can be used without any codings." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.topic" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationTopic" />
</extension>
<strength value="example" />
<description value="Codes describing the purpose or content of the communication." />
<valueSet value="http://hl7.org/fhir/ValueSet/communication-topic" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.context" />
</mapping>
</element>
<element id="Communication.about">
<path value="Communication.about" />
<short value="Resources that pertain to this communication" />
<definition value="Other resources that pertain to this communication and to which this communication should be associated." />
<comment value="Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.about" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.context" />
</mapping>
</element>
<element id="Communication.encounter">
<path value="Communication.encounter" />
<short value="Encounter created as part of" />
<definition value="The Encounter during which this Communication was created or to which the creation of this record is tightly associated." />
<comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.encounter" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.context" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.context" />
</mapping>
</element>
<element id="Communication.sent">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.sent" />
<short value="When sent" />
<definition value="The time when this communication was sent." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.sent" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="dateTime" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.occurrence[x] {Invariant: maps to period.start}" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.done[x]" />
</mapping>
</element>
<element id="Communication.received">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.received" />
<short value="When received" />
<definition value="The time when this communication arrived at the destination." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.received" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="dateTime" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.occurrence[x] {Invariant: maps to period.end}" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.done[x]" />
</mapping>
</element>
<element id="Communication.recipient">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.recipient" />
<short value="Message recipient" />
<definition value="The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time)." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.recipient" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/healthcareservice-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.performer.actor" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.actor" />
</mapping>
</element>
<element id="Communication.recipient.id">
<path value="Communication.recipient.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.recipient.extension">
<path value="Communication.recipient.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.recipient.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.recipient.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.recipient.type">
<path value="Communication.recipient.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.recipient.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.recipient.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Communication.recipient.identifier.id">
<path value="Communication.recipient.identifier.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.recipient.identifier.extension">
<path value="Communication.recipient.identifier.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="false" />
<isSummary value="false" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.recipient.identifier.use">
<path value="Communication.recipient.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.use" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse" />
</extension>
<strength value="required" />
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.recipient.identifier.type">
<path value="Communication.recipient.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType" />
</extension>
<strength value="extensible" />
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|4.0.1" />
</binding>
<mapping>
<identity value="v2" />
<map value="CX.5" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.recipient.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.recipient.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<example>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.4 / EI-2-4" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.root or Role.id.root" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Communication.recipient.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.recipient.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<example>
<label value="General" />
<valueString value="123456" />
</example>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.1 / EI.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./Value" />
</mapping>
</element>
<element id="Communication.recipient.identifier.period">
<path value="Communication.recipient.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.7 + CX.8" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.effectiveTime or implied by context" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Communication.recipient.identifier.assigner">
<path value="Communication.recipient.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.assigner" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="v2" />
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<element id="Communication.recipient.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Communication.recipient.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="false" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.sender">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.sender" />
<short value="Message sender" />
<definition value="The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.sender" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/healthcare-service" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.performer.actor" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.actor" />
</mapping>
</element>
<element id="Communication.sender.id">
<path value="Communication.sender.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.sender.extension">
<path value="Communication.sender.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.sender.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.sender.reference" />
<short value="Literal reference, Relative, internal or absolute URL" />
<definition value="A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources." />
<comment value="Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.reference" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<condition value="ref-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.sender.type">
<path value="Communication.sender.type" />
<short value="Type the reference refers to (e.g. "Patient")" />
<definition value="The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
<comment value="This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FHIRResourceTypeExt" />
</extension>
<strength value="extensible" />
<description value="Aa resource (or, for logical models, the URI of the logical model)." />
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.sender.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.sender.identifier" />
<short value="Logical reference, when literal reference is not known" />
<definition value="An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
<comment value="When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any)." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.identifier" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" />
</mapping>
<mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".identifier" />
</mapping>
</element>
<element id="Communication.sender.identifier.id">
<path value="Communication.sender.identifier.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.sender.identifier.extension">
<path value="Communication.sender.identifier.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.sender.identifier.use">
<path value="Communication.sender.identifier.use" />
<short value="usual | official | temp | secondary | old (If known)" />
<definition value="The purpose of this identifier." />
<comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.use" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="code" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one." />
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierUse" />
</extension>
<strength value="required" />
<description value="Identifies the purpose for this identifier, if known ." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.sender.identifier.type">
<path value="Communication.sender.identifier.type" />
<short value="Description of identifier" />
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.type" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="IdentifierType" />
</extension>
<strength value="extensible" />
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
<valueSet value="http://hl7.org/fhir/ValueSet/identifier-type" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.5" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.code or implied by context" />
</mapping>
</element>
<element id="Communication.sender.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.sender.identifier.system" />
<short value="The namespace for the identifier value" />
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<comment value="Identifier.system is always case sensitive." />
<requirements value="There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.system" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="uri" />
</type>
<example>
<label value="General" />
<valueUri value="http://www.acme.com/identifiers/patient" />
</example>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.4 / EI-2-4" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.root or Role.id.root" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierType" />
</mapping>
</element>
<element id="Communication.sender.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.sender.identifier.value" />
<short value="The value that is unique" />
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe." />
<min value="1" />
<max value="1" />
<base>
<path value="Identifier.value" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<example>
<label value="General" />
<valueString value="123456" />
</example>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.1 / EI.1" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./Value" />
</mapping>
</element>
<element id="Communication.sender.identifier.period">
<path value="Communication.sender.identifier.period" />
<short value="Time period when id is/was valid for use" />
<definition value="Time period during which identifier is/was valid for use." />
<comment value="A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration)." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.period" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Period" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="per-1" />
<severity value="error" />
<human value="If present, start SHALL have a lower value than end" />
<expression value="start.hasValue().not() or end.hasValue().not() or (start <= end)" />
<xpath value="not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))" />
<source value="http://hl7.org/fhir/StructureDefinition/Period" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="DR" />
</mapping>
<mapping>
<identity value="rim" />
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.7 + CX.8" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Role.effectiveTime or implied by context" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./StartDate and ./EndDate" />
</mapping>
</element>
<element id="Communication.sender.identifier.assigner">
<path value="Communication.sender.identifier.assigner" />
<short value="Organization that issued id (may be just text)" />
<definition value="Organization that issued/manages the identifier." />
<comment value="The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization." />
<min value="0" />
<max value="1" />
<base>
<path value="Identifier.assigner" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CX.4 / (CX.4,CX.9,CX.10)" />
</mapping>
<mapping>
<identity value="rim" />
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
<mapping>
<identity value="servd" />
<map value="./IdentifierIssuingAuthority" />
</mapping>
</element>
<element id="Communication.sender.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Communication.sender.display" />
<short value="Text alternative for the resource" />
<definition value="Plain text narrative that identifies the resource in addition to the resource reference." />
<comment value="This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it." />
<min value="0" />
<max value="1" />
<base>
<path value="Reference.display" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.reasonCode">
<path value="Communication.reasonCode" />
<short value="Indication for message" />
<definition value="The reason or justification for the communication." />
<comment value="Textual reasons can be captured using reasonCode.text." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.reasonCode" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationReason" />
</extension>
<strength value="example" />
<description value="Codes for describing reasons for the occurrence of a communication." />
<valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings" />
</binding>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.reasonCode" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.why[x]" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".reasonCode" />
</mapping>
</element>
<element id="Communication.reasonReference">
<path value="Communication.reasonReference" />
<short value="Why was communication done?" />
<definition value="Indicates another resource whose existence justifies this communication." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.reasonReference" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/diagnosticreport-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/documentreference-ca-core" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.reasonReference" />
</mapping>
<mapping>
<identity value="w5" />
<map value="FiveWs.why[x]" />
</mapping>
<mapping>
<identity value="rim" />
<map value=".outboundRelationship[typeCode=RSON].target" />
</mapping>
</element>
<element id="Communication.payload">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.payload" />
<short value="Message payload" />
<definition value="Text, attachment(s), or resource(s) that was communicated to the recipient." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.payload" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.payload.id">
<path value="Communication.payload.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.payload.extension">
<path value="Communication.payload.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.payload.modifierExtension">
<path value="Communication.payload.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<base>
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Communication.payload.content[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<slicing>
<discriminator>
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="closed" />
</slicing>
<short value="Message part content" />
<definition value="A communicated content (or for multi-part communications, one portion of the communication)." />
<min value="1" />
<max value="1" />
<base>
<path value="Communication.payload.content[x]" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<type>
<code value="Attachment" />
</type>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.payload.content[x]:contentReference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<sliceName value="contentReference" />
<short value="Message part content" />
<definition value="A communicated content (or for multi-part communications, one portion of the communication)." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.payload.content[x]" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.payload.content[x]:contentString">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<sliceName value="contentString" />
<short value="Message part content" />
<definition value="A communicated content (or for multi-part communications, one portion of the communication)." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.payload.content[x]" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.payload.content[x]:contentAttachment">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
<extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<sliceName value="contentAttachment" />
<short value="Message part content" />
<definition value="A communicated content (or for multi-part communications, one portion of the communication)." />
<min value="0" />
<max value="1" />
<base>
<path value="Communication.payload.content[x]" />
<min value="1" />
<max value="1" />
</base>
<type>
<code value="Attachment" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Communication.note">
<path value="Communication.note" />
<short value="Comments made about the communication" />
<definition value="Additional notes or commentary about the communication by the sender, receiver or other interested parties." />
<comment value="For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible)." />
<min value="0" />
<max value="*" />
<base>
<path value="Communication.note" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Annotation" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
<mapping>
<identity value="rim" />
<map value="Act" />
</mapping>
<mapping>
<identity value="workflow" />
<map value="Event.note" />
</mapping>
</element>
</snapshot>
<differential>
<element id="Communication">
<path value="Communication" />
</element>
<element id="Communication.meta">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.meta" />
</element>
<element id="Communication.meta.profile">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.meta.profile" />
<comment value="Implementers should be aware that some Canadian jurisdictions require vendors to use meta.profile to declare which FHIR profile(s) and version(s) the resource conforms to." />
</element>
<element id="Communication.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.identifier" />
</element>
<element id="Communication.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.identifier.system" />
</element>
<element id="Communication.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.identifier.value" />
</element>
<element id="Communication.basedOn">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.basedOn" />
<min value="1" />
<max value="1" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/service-request" />
</type>
</element>
<element id="Communication.basedOn.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.basedOn.reference" />
</element>
<element id="Communication.basedOn.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.basedOn.identifier" />
</element>
<element id="Communication.basedOn.identifier.use">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.basedOn.identifier.use" />
<min value="1" />
</element>
<element id="Communication.basedOn.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.basedOn.identifier.system" />
<min value="1" />
</element>
<element id="Communication.basedOn.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.basedOn.identifier.value" />
<min value="1" />
</element>
<element id="Communication.inResponseTo">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.inResponseTo" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication" />
</type>
</element>
<element id="Communication.status">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.status" />
<constraint>
<key value="pcare-com-1" />
<severity value="warning" />
<human value="Communication.status is expected to equal 'completed' for CA:eReC compatibility." />
<expression value="$this = 'completed'" />
<source value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication" />
</constraint>
</element>
<element id="Communication.category">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.category" />
<binding>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="CommunicationCategory" />
</extension>
<strength value="extensible" />
<valueSet value="http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-referral-communication-category" />
</binding>
</element>
<element id="Communication.subject">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.subject" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient" />
</type>
</element>
<element id="Communication.subject.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.subject.reference" />
</element>
<element id="Communication.subject.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.subject.identifier" />
</element>
<element id="Communication.subject.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.subject.identifier.system" />
</element>
<element id="Communication.subject.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.subject.identifier.value" />
</element>
<element id="Communication.sent">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.sent" />
</element>
<element id="Communication.received">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.received" />
</element>
<element id="Communication.recipient">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.recipient" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/healthcareservice-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core" />
<targetProfile value="http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core" />
</type>
</element>
<element id="Communication.recipient.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.recipient.reference" />
</element>
<element id="Communication.recipient.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.recipient.identifier" />
</element>
<element id="Communication.recipient.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.recipient.identifier.system" />
</element>
<element id="Communication.recipient.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.recipient.identifier.value" />
</element>
<element id="Communication.sender">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.sender" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/healthcare-service" />
</type>
</element>
<element id="Communication.sender.reference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.sender.reference" />
</element>
<element id="Communication.sender.identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.sender.identifier" />
</element>
<element id="Communication.sender.identifier.system">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.sender.identifier.system" />
</element>
<element id="Communication.sender.identifier.value">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.sender.identifier.value" />
</element>
<element id="Communication.payload">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.payload" />
</element>
<element id="Communication.payload.content[x]">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<slicing>
<discriminator>
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<type>
<code value="string" />
</type>
<type>
<code value="Attachment" />
</type>
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference" />
</type>
</element>
<element id="Communication.payload.content[x]:contentReference">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<sliceName value="contentReference" />
<min value="0" />
<max value="1" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference" />
</type>
</element>
<element id="Communication.payload.content[x]:contentString">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<sliceName value="contentString" />
<min value="0" />
<max value="1" />
<type>
<code value="string" />
</type>
</element>
<element id="Communication.payload.content[x]:contentAttachment">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:populate-if-known" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="name">
<valueString value="pcare" />
</extension>
<extension url="code">
<valueCode value="SHALL:populate" />
</extension>
<extension url="code">
<valueCode value="SHALL:persist" />
</extension>
<extension url="code">
<valueCode value="SHALL:no-error" />
</extension>
<extension url="documentation">
<valueMarkdown value="P-Care server population, persistence, and acceptance requirements for this element." />
</extension>
<extension url="actor">
<valueCanonical value="http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server" />
</extension>
</extension>
<path value="Communication.payload.content[x]" />
<sliceName value="contentAttachment" />
<min value="0" />
<max value="1" />
<type>
<code value="Attachment" />
</type>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "communication",
"text": {
"status": "extensions",
--- We have skipped the narrative for better readability of the resource ---
},
"url": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication",
"version": "0.1.0",
"name": "PCareCommunication",
"title": "P-Care Communication",
"status": "draft",
"date": "2026-10-19T22:14:59+00:00",
"publisher": "Infoway",
"description": "The P-Care profile for recording information that has been communicated.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Communication",
"baseDefinition": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "1.1.0"
}
],
"element": [
{
"id": "Communication",
"path": "Communication",
"short": "A record of information transmitted from a sender to a receiver",
"definition": "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.",
"min": 0,
"max": "*",
"base": {
"path": "Communication",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "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()",
"xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key": "dom-6",
"severity": "warning",
"human": "A resource should have narrative for robust management",
"expression": "text.`div`.exists()",
"xpath": "exists(f:text/h:div)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-5",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression": "contained.meta.security.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:security))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
}
]
},
{
"id": "Communication.id",
"path": "Communication.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.meta",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.meta.id",
"path": "Communication.meta.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.meta.extension",
"path": "Communication.meta.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.meta.versionId",
"path": "Communication.meta.versionId",
"short": "Version specific identifier",
"definition": "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.",
"comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
"min": 0,
"max": "1",
"base": {
"path": "Meta.versionId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Communication.meta.lastUpdated",
"path": "Communication.meta.lastUpdated",
"short": "When the resource version last changed",
"definition": "When the resource last changed - e.g. when the version changed.",
"comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.",
"min": 0,
"max": "1",
"base": {
"path": "Meta.lastUpdated",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Communication.meta.source",
"path": "Communication.meta.source",
"short": "Identifies where the resource comes from",
"definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.",
"comment": "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.",
"min": 0,
"max": "1",
"base": {
"path": "Meta.source",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Communication.meta.profile",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.meta.profile",
"short": "Profiles this resource claims to conform to",
"definition": "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).",
"comment": "Implementers should be aware that some Canadian jurisdictions require vendors to use meta.profile to declare which FHIR profile(s) and version(s) the resource conforms to.",
"min": 0,
"max": "*",
"base": {
"path": "Meta.profile",
"min": 0,
"max": "*"
},
"type": [
{
"code": "canonical",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Communication.meta.security",
"path": "Communication.meta.security",
"short": "Security Labels applied to this resource",
"definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
"comment": "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
"min": 0,
"max": "*",
"base": {
"path": "Meta.security",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SecurityLabels"
}
],
"strength": "extensible",
"description": "Security Labels from the Healthcare Privacy and Security Classification System.",
"valueSet": "http://hl7.org/fhir/ValueSet/security-labels|4.0.1"
}
},
{
"id": "Communication.meta.tag",
"path": "Communication.meta.tag",
"short": "Tags applied to this resource",
"definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
"comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
"min": 0,
"max": "*",
"base": {
"path": "Meta.tag",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Tags"
}
],
"strength": "example",
"description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".",
"valueSet": "http://hl7.org/fhir/ValueSet/common-tags|4.0.1"
}
},
{
"id": "Communication.implicitRules",
"path": "Communication.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.language",
"path": "Communication.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}
],
"strength": "preferred",
"description": "A human language.",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.text",
"path": "Communication.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
},
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "Communication.contained",
"path": "Communication.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.extension",
"path": "Communication.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.modifierExtension",
"path": "Communication.modifierExtension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.identifier",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.identifier",
"short": "Unique identifier",
"definition": "Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"comment": "This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"requirements": "Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
},
{
"identity": "rim",
"map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
},
{
"identity": "servd",
"map": "Identifier"
},
{
"identity": "workflow",
"map": "Event.identifier"
},
{
"identity": "w5",
"map": "FiveWs.identifier"
}
]
},
{
"id": "Communication.identifier.id",
"path": "Communication.identifier.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.identifier.extension",
"path": "Communication.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.identifier.use",
"path": "Communication.identifier.use",
"short": "usual | official | temp | secondary | old (If known)",
"definition": "The purpose of this identifier.",
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.identifier.type",
"path": "Communication.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.identifier.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"comment": "Identifier.system is always case sensitive.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "Communication.identifier.value",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "Communication.identifier.period",
"path": "Communication.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "Communication.identifier.assigner",
"path": "Communication.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "Communication.instantiatesCanonical",
"path": "Communication.instantiatesCanonical",
"short": "Instantiates FHIR protocol or definition",
"definition": "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
"comment": "see [Canonical References](http://hl7.org/fhir/R4/references.html#canonical)",
"min": 0,
"max": "*",
"base": {
"path": "Communication.instantiatesCanonical",
"min": 0,
"max": "*"
},
"type": [
{
"code": "canonical",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/PlanDefinition",
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
"http://hl7.org/fhir/StructureDefinition/Measure",
"http://hl7.org/fhir/StructureDefinition/OperationDefinition",
"http://hl7.org/fhir/StructureDefinition/Questionnaire"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "workflow",
"map": "Event.instantiatesCanonical"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id": "Communication.instantiatesUri",
"path": "Communication.instantiatesUri",
"short": "Instantiates external protocol or definition",
"definition": "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
"comment": "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.instantiatesUri",
"min": 0,
"max": "*"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "workflow",
"map": "Event.instantiatesUri"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id": "Communication.basedOn",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn",
"short": "Request fulfilled by this communication",
"definition": "An order, proposal or plan fulfilled in whole or in part by this Communication.",
"comment": "This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.",
"alias": [
"fulfills"
],
"min": 1,
"max": "1",
"base": {
"path": "Communication.basedOn",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/service-request"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.basedOn"
}
]
},
{
"id": "Communication.basedOn.id",
"path": "Communication.basedOn.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.basedOn.extension",
"path": "Communication.basedOn.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.basedOn.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1",
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.basedOn.type",
"path": "Communication.basedOn.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.basedOn.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
},
{
"identity": "rim",
"map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
},
{
"identity": "servd",
"map": "Identifier"
},
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Communication.basedOn.identifier.id",
"path": "Communication.basedOn.identifier.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.basedOn.identifier.extension",
"path": "Communication.basedOn.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.basedOn.identifier.use",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier.use",
"short": "usual | official | temp | secondary | old (If known)",
"definition": "The purpose of this identifier.",
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.basedOn.identifier.type",
"path": "Communication.basedOn.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.basedOn.identifier.system",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"comment": "Identifier.system is always case sensitive.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "Communication.basedOn.identifier.value",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "Communication.basedOn.identifier.period",
"path": "Communication.basedOn.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "per-1",
"severity": "error",
"human": "If present, start SHALL have a lower value than end",
"expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
"source": "http://hl7.org/fhir/StructureDefinition/Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "DR"
},
{
"identity": "rim",
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "Communication.basedOn.identifier.assigner",
"path": "Communication.basedOn.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "Communication.basedOn.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Communication.basedOn.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.partOf",
"path": "Communication.partOf",
"short": "Part of this action",
"definition": "Part of this action.",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"alias": [
"container"
],
"min": 0,
"max": "*",
"base": {
"path": "Communication.partOf",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.partOf"
}
]
},
{
"id": "Communication.inResponseTo",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.inResponseTo",
"short": "Reply to",
"definition": "Prior communication that this communication is in response to.",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.inResponseTo",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
}
]
},
{
"id": "Communication.status",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.status",
"short": "preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown",
"definition": "The status of the transmission.",
"comment": "This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.",
"min": 1,
"max": "1",
"base": {
"path": "Communication.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "pcare-com-1",
"severity": "warning",
"human": "Communication.status is expected to equal 'completed' for CA:eReC compatibility.",
"expression": "$this = 'completed'",
"source": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication"
}
],
"mustSupport": true,
"isModifier": true,
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationStatus"
}
],
"strength": "required",
"description": "The status of the communication.",
"valueSet": "http://hl7.org/fhir/ValueSet/event-status|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "workflow",
"map": "Event.status"
},
{
"identity": "w5",
"map": "FiveWs.status"
}
]
},
{
"id": "Communication.statusReason",
"path": "Communication.statusReason",
"short": "Reason for current status",
"definition": "Captures the reason for the current state of the Communication.",
"comment": "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
"alias": [
"Suspended Reason",
"Cancelled Reason"
],
"min": 0,
"max": "1",
"base": {
"path": "Communication.statusReason",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationNotDoneReason"
}
],
"strength": "example",
"description": "Codes for the reason why a communication did not happen.",
"valueSet": "http://hl7.org/fhir/ValueSet/communication-not-done-reason"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "workflow",
"map": "Event.statusReason"
}
]
},
{
"id": "Communication.category",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.category",
"short": "Concept - reference to a terminology or just text",
"definition": "A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.category",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept",
"profile": [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationCategory"
}
],
"strength": "extensible",
"valueSet": "http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-referral-communication-category"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "w5",
"map": "FiveWs.class"
}
]
},
{
"id": "Communication.priority",
"path": "Communication.priority",
"short": "routine | urgent | asap | stat",
"definition": "Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.",
"comment": "Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.",
"min": 0,
"max": "1",
"base": {
"path": "Communication.priority",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"meaningWhenMissing": "If missing, this communication should be treated with normal priority",
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationPriority"
}
],
"strength": "required",
"description": "Codes indicating the relative importance of a communication.",
"valueSet": "http://hl7.org/fhir/ValueSet/request-priority|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "w5",
"map": "FiveWs.grade"
}
]
},
{
"id": "Communication.medium",
"path": "Communication.medium",
"short": "A channel of communication",
"definition": "A channel that was used for this communication (e.g. email, fax).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.medium",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationMedium"
}
],
"strength": "example",
"description": "Codes for communication mediums such as phone, fax, email, in person, etc.",
"valueSet": "http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id": "Communication.subject",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject",
"short": "Focus of message",
"definition": "The patient or group that was the focus of this communication.",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"alias": [
"patient"
],
"min": 0,
"max": "1",
"base": {
"path": "Communication.subject",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "w5",
"map": "FiveWs.subject[x]"
},
{
"identity": "w5",
"map": "FiveWs.subject"
}
]
},
{
"id": "Communication.subject.id",
"path": "Communication.subject.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.subject.extension",
"path": "Communication.subject.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.subject.reference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1",
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.subject.type",
"path": "Communication.subject.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.subject.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
},
{
"identity": "rim",
"map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
},
{
"identity": "servd",
"map": "Identifier"
},
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Communication.subject.identifier.id",
"path": "Communication.subject.identifier.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.subject.identifier.extension",
"path": "Communication.subject.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.subject.identifier.use",
"path": "Communication.subject.identifier.use",
"short": "usual | official | temp | secondary | old (If known)",
"definition": "The purpose of this identifier.",
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.subject.identifier.type",
"path": "Communication.subject.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.subject.identifier.system",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"comment": "Identifier.system is always case sensitive.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "Communication.subject.identifier.value",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "Communication.subject.identifier.period",
"path": "Communication.subject.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "per-1",
"severity": "error",
"human": "If present, start SHALL have a lower value than end",
"expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
"source": "http://hl7.org/fhir/StructureDefinition/Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "DR"
},
{
"identity": "rim",
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "Communication.subject.identifier.assigner",
"path": "Communication.subject.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "Communication.subject.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Communication.subject.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.topic",
"path": "Communication.topic",
"short": "Description of the purpose/content",
"definition": "Description of the purpose/content, similar to a subject line in an email.",
"comment": "Communication.topic.text can be used without any codings.",
"min": 0,
"max": "1",
"base": {
"path": "Communication.topic",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationTopic"
}
],
"strength": "example",
"description": "Codes describing the purpose or content of the communication.",
"valueSet": "http://hl7.org/fhir/ValueSet/communication-topic"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "w5",
"map": "FiveWs.context"
}
]
},
{
"id": "Communication.about",
"path": "Communication.about",
"short": "Resources that pertain to this communication",
"definition": "Other resources that pertain to this communication and to which this communication should be associated.",
"comment": "Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.about",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "w5",
"map": "FiveWs.context"
}
]
},
{
"id": "Communication.encounter",
"path": "Communication.encounter",
"short": "Encounter created as part of",
"definition": "The Encounter during which this Communication was created or to which the creation of this record is tightly associated.",
"comment": "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
"min": 0,
"max": "1",
"base": {
"path": "Communication.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.context"
},
{
"identity": "w5",
"map": "FiveWs.context"
}
]
},
{
"id": "Communication.sent",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sent",
"short": "When sent",
"definition": "The time when this communication was sent.",
"min": 0,
"max": "1",
"base": {
"path": "Communication.sent",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "workflow",
"map": "Event.occurrence[x] {Invariant: maps to period.start}"
},
{
"identity": "w5",
"map": "FiveWs.done[x]"
}
]
},
{
"id": "Communication.received",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.received",
"short": "When received",
"definition": "The time when this communication arrived at the destination.",
"min": 0,
"max": "1",
"base": {
"path": "Communication.received",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "workflow",
"map": "Event.occurrence[x] {Invariant: maps to period.end}"
},
{
"identity": "w5",
"map": "FiveWs.done[x]"
}
]
},
{
"id": "Communication.recipient",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient",
"short": "Message recipient",
"definition": "The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient. Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.recipient",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/healthcareservice-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.performer.actor"
},
{
"identity": "w5",
"map": "FiveWs.actor"
}
]
},
{
"id": "Communication.recipient.id",
"path": "Communication.recipient.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.recipient.extension",
"path": "Communication.recipient.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.recipient.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.recipient.type",
"path": "Communication.recipient.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.recipient.identifier",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Communication.recipient.identifier.id",
"path": "Communication.recipient.identifier.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.recipient.identifier.extension",
"path": "Communication.recipient.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.recipient.identifier.use",
"path": "Communication.recipient.identifier.use",
"short": "usual | official | temp | secondary | old (If known)",
"definition": "The purpose of this identifier.",
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.recipient.identifier.type",
"path": "Communication.recipient.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"
},
"mapping": [
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.recipient.identifier.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"comment": "Identifier.system is always case sensitive.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "Communication.recipient.identifier.value",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "Communication.recipient.identifier.period",
"path": "Communication.recipient.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "Communication.recipient.identifier.assigner",
"path": "Communication.recipient.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"
]
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "Communication.recipient.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Communication.recipient.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.sender",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender",
"short": "Message sender",
"definition": "The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"min": 0,
"max": "1",
"base": {
"path": "Communication.sender",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/practitioner-role",
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/healthcare-service"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.performer.actor"
},
{
"identity": "w5",
"map": "FiveWs.actor"
}
]
},
{
"id": "Communication.sender.id",
"path": "Communication.sender.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.sender.extension",
"path": "Communication.sender.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.sender.reference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1",
"ref-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.sender.type",
"path": "Communication.sender.type",
"short": "Type the reference refers to (e.g. \"Patient\")",
"definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"comment": "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "FHIRResourceTypeExt"
}
],
"strength": "extensible",
"description": "Aa resource (or, for logical models, the URI of the logical model).",
"valueSet": "http://hl7.org/fhir/ValueSet/resource-types"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.sender.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)"
},
{
"identity": "rim",
"map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
},
{
"identity": "servd",
"map": "Identifier"
},
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Communication.sender.identifier.id",
"path": "Communication.sender.identifier.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.sender.identifier.extension",
"path": "Communication.sender.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.sender.identifier.use",
"path": "Communication.sender.identifier.use",
"short": "usual | official | temp | secondary | old (If known)",
"definition": "The purpose of this identifier.",
"comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": true,
"isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.sender.identifier.type",
"path": "Communication.sender.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSet": "http://hl7.org/fhir/ValueSet/identifier-type"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "Communication.sender.identifier.system",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"comment": "Identifier.system is always case sensitive.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "Communication.sender.identifier.value",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
"min": 1,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "Communication.sender.identifier.period",
"path": "Communication.sender.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "per-1",
"severity": "error",
"human": "If present, start SHALL have a lower value than end",
"expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)",
"xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
"source": "http://hl7.org/fhir/StructureDefinition/Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "DR"
},
{
"identity": "rim",
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "Communication.sender.identifier.assigner",
"path": "Communication.sender.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "Communication.sender.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Communication.sender.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.reasonCode",
"path": "Communication.reasonCode",
"short": "Indication for message",
"definition": "The reason or justification for the communication.",
"comment": "Textual reasons can be captured using reasonCode.text.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.reasonCode",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationReason"
}
],
"strength": "example",
"description": "Codes for describing reasons for the occurrence of a communication.",
"valueSet": "http://hl7.org/fhir/ValueSet/clinical-findings"
},
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "CE/CNE/CWE"
},
{
"identity": "rim",
"map": "CD"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
},
{
"identity": "workflow",
"map": "Event.reasonCode"
},
{
"identity": "w5",
"map": "FiveWs.why[x]"
},
{
"identity": "rim",
"map": ".reasonCode"
}
]
},
{
"id": "Communication.reasonReference",
"path": "Communication.reasonReference",
"short": "Why was communication done?",
"definition": "Indicates another resource whose existence justifies this communication.",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.reasonReference",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core",
"http://hl7.org/fhir/StructureDefinition/Observation",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/diagnosticreport-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/documentreference-ca-core"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ref-1",
"severity": "error",
"human": "SHALL have a contained resource if a local reference is provided",
"expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
"source": "http://hl7.org/fhir/StructureDefinition/Reference"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
},
{
"identity": "workflow",
"map": "Event.reasonReference"
},
{
"identity": "w5",
"map": "FiveWs.why[x]"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=RSON].target"
}
]
},
{
"id": "Communication.payload",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload",
"short": "Message payload",
"definition": "Text, attachment(s), or resource(s) that was communicated to the recipient.",
"min": 0,
"max": "*",
"base": {
"path": "Communication.payload",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.payload.id",
"path": "Communication.payload.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.payload.extension",
"path": "Communication.payload.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.payload.modifierExtension",
"path": "Communication.payload.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Communication.payload.content[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "closed"
},
"short": "Message part content",
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"min": 1,
"max": "1",
"base": {
"path": "Communication.payload.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
},
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.payload.content[x]:contentReference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"sliceName": "contentReference",
"short": "Message part content",
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"min": 0,
"max": "1",
"base": {
"path": "Communication.payload.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.payload.content[x]:contentString",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"sliceName": "contentString",
"short": "Message part content",
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"min": 0,
"max": "1",
"base": {
"path": "Communication.payload.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.payload.content[x]:contentAttachment",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core|1.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication|0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"sliceName": "contentAttachment",
"short": "Message part content",
"definition": "A communicated content (or for multi-part communications, one portion of the communication).",
"min": 0,
"max": "1",
"base": {
"path": "Communication.payload.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Attachment"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Communication.note",
"path": "Communication.note",
"short": "Comments made about the communication",
"definition": "Additional notes or commentary about the communication by the sender, receiver or other interested parties.",
"comment": "For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. *Annotations SHOULD NOT* be used to communicate \"modifying\" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).",
"min": 0,
"max": "*",
"base": {
"path": "Communication.note",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Annotation"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Act"
},
{
"identity": "workflow",
"map": "Event.note"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Communication",
"path": "Communication"
},
{
"id": "Communication.meta",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.meta"
},
{
"id": "Communication.meta.profile",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.meta.profile",
"comment": "Implementers should be aware that some Canadian jurisdictions require vendors to use meta.profile to declare which FHIR profile(s) and version(s) the resource conforms to."
},
{
"id": "Communication.identifier",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.identifier"
},
{
"id": "Communication.identifier.system",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.identifier.system"
},
{
"id": "Communication.identifier.value",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.identifier.value"
},
{
"id": "Communication.basedOn",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/service-request"
]
}
]
},
{
"id": "Communication.basedOn.reference",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.reference"
},
{
"id": "Communication.basedOn.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier"
},
{
"id": "Communication.basedOn.identifier.use",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier.use",
"min": 1
},
{
"id": "Communication.basedOn.identifier.system",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier.system",
"min": 1
},
{
"id": "Communication.basedOn.identifier.value",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.basedOn.identifier.value",
"min": 1
},
{
"id": "Communication.inResponseTo",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.inResponseTo",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication"
]
}
]
},
{
"id": "Communication.status",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.status",
"constraint": [
{
"key": "pcare-com-1",
"severity": "warning",
"human": "Communication.status is expected to equal 'completed' for CA:eReC compatibility.",
"expression": "$this = 'completed'",
"source": "http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/communication"
}
]
},
{
"id": "Communication.category",
"extension": [
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.category",
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CommunicationCategory"
}
],
"strength": "extensible",
"valueSet": "http://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-referral-communication-category"
}
},
{
"id": "Communication.subject",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/patient"
]
}
]
},
{
"id": "Communication.subject.reference",
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{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.reference"
},
{
"id": "Communication.subject.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
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}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.identifier"
},
{
"id": "Communication.subject.identifier.system",
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{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
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}
],
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},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
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},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
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}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.identifier.system"
},
{
"id": "Communication.subject.identifier.value",
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{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
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}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
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}
],
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},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
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}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.subject.identifier.value"
},
{
"id": "Communication.sent",
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{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
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],
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},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sent"
},
{
"id": "Communication.received",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
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},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
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}
],
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},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
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},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.received"
},
{
"id": "Communication.recipient",
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{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/healthcareservice-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core",
"http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core"
]
}
]
},
{
"id": "Communication.recipient.reference",
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{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient.reference"
},
{
"id": "Communication.recipient.identifier",
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{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.recipient.identifier"
},
{
"id": "Communication.recipient.identifier.system",
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{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
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}
],
"path": "Communication.recipient.identifier.system"
},
{
"id": "Communication.recipient.identifier.value",
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{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
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}
],
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}
],
"path": "Communication.recipient.identifier.value"
},
{
"id": "Communication.sender",
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{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
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}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender",
"type": [
{
"code": "Reference",
"targetProfile": [
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"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/healthcare-service"
]
}
]
},
{
"id": "Communication.sender.reference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.reference"
},
{
"id": "Communication.sender.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.identifier"
},
{
"id": "Communication.sender.identifier.system",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.identifier.system"
},
{
"id": "Communication.sender.identifier.value",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.sender.identifier.value"
},
{
"id": "Communication.payload",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload"
},
{
"id": "Communication.payload.content[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
},
"type": [
{
"code": "string"
},
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference"
]
}
]
},
{
"id": "Communication.payload.content[x]:contentReference",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"sliceName": "contentReference",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.infoway-inforoute.ca/p-care/StructureDefinition/document-reference"
]
}
]
},
{
"id": "Communication.payload.content[x]:contentString",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"sliceName": "contentString",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "Communication.payload.content[x]:contentAttachment",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:populate-if-known"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "name",
"valueString": "pcare"
},
{
"url": "code",
"valueCode": "SHALL:populate"
},
{
"url": "code",
"valueCode": "SHALL:persist"
},
{
"url": "code",
"valueCode": "SHALL:no-error"
},
{
"url": "documentation",
"valueMarkdown": "P-Care server population, persistence, and acceptance requirements for this element."
},
{
"url": "actor",
"valueCanonical": "http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-server"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "Communication.payload.content[x]",
"sliceName": "contentAttachment",
"min": 0,
"max": "1",
"type": [
{
"code": "Attachment"
}
]
}
]
}
}

Constraints

PathIdGradeDetailsExpression
Communication.statuspcare-com-1warningCommunication.status is expected to equal 'completed' for CA:eReC compatibility.$this = 'completed'

Obligations

ElementActorCode
basedOnhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOnhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOnhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOnhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOnhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
basedOn.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOn.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOn.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOn.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOn.identifierhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
basedOn.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOn.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOn.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOn.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOn.identifier.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
basedOn.identifier.usehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
basedOn.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOn.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
basedOn.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOn.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
basedOn.identifier.valuehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
basedOn.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
categoryhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
identifierhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
identifier.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
identifier.valuehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
inResponseTohttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
inResponseTohttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
inResponseTohttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
inResponseTohttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
inResponseTohttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
metahttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
meta.profilehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
payloadhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payloadhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payloadhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payloadhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payloadhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
payload.content[x]http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]http://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
payload.content[x]:contentAttachmenthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]:contentAttachmenthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]:contentAttachmenthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]:contentAttachmenthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]:contentAttachmenthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
payload.content[x]:contentReferencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]:contentReferencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]:contentReferencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]:contentReferencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]:contentReferencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
payload.content[x]:contentStringhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]:contentStringhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
payload.content[x]:contentStringhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]:contentStringhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
payload.content[x]:contentStringhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
receivedhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
receivedhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
receivedhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
receivedhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
receivedhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
recipienthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
recipient.identifierhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
recipient.identifier.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
recipient.identifier.valuehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
recipient.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
senderhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
senderhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
senderhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
senderhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
senderhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
sender.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.identifierhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
sender.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.identifier.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
sender.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.identifier.valuehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
sender.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
sender.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
sender.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
senthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
senthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
senthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
senthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
senthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
statushttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
statushttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
statushttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
statushttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
statushttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subjecthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subjecthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subjecthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subjecthttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subjecthttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subject.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.identifierhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.identifierhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subject.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.identifier.systemhttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.identifier.systemhttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subject.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.identifier.valuehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.identifier.valuehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error
subject.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumerSHALL:no-error
subject.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.referencehttp://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producerSHALL:populate-if-known
subject.referencehttp://fhir.infoway-inforoute.ca/p-care/ActorDefinition/pcare-serverSHALL:populate, SHALL:persist, SHALL:no-error

Terminology bindings (Differential)

PathConformanceValueSet
Communication.categoryextensiblehttp://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-referral-communication-category

Terminology bindings (Snapshot)

PathConformanceValueSet
Communication.meta.securityextensiblehttp://hl7.org/fhir/ValueSet/security-labels|4.0.1
Communication.meta.tagexamplehttp://hl7.org/fhir/ValueSet/common-tags|4.0.1
Communication.languagepreferredhttp://hl7.org/fhir/ValueSet/languages
Communication.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Communication.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
Communication.basedOn.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types
Communication.basedOn.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Communication.basedOn.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type
Communication.statusrequiredhttp://hl7.org/fhir/ValueSet/event-status|4.0.1
Communication.statusReasonexamplehttp://hl7.org/fhir/ValueSet/communication-not-done-reason
Communication.categoryextensiblehttp://fhir.infoway-inforoute.ca/p-care/ValueSet/pcare-referral-communication-category
Communication.priorityrequiredhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1
Communication.mediumexamplehttp://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0
Communication.subject.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types
Communication.subject.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Communication.subject.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type
Communication.topicexamplehttp://hl7.org/fhir/ValueSet/communication-topic
Communication.recipient.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1
Communication.recipient.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Communication.recipient.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
Communication.sender.typeextensiblehttp://hl7.org/fhir/ValueSet/resource-types
Communication.sender.identifier.userequiredhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
Communication.sender.identifier.typeextensiblehttp://hl7.org/fhir/ValueSet/identifier-type
Communication.reasonCodeexamplehttp://hl7.org/fhir/ValueSet/clinical-findings

Additional Terminology Bindings Only

IG © based on FHIR R4 | template version 2.5.1 | Package package:ca.infoway.io.pcare@0.1.0-dft-preballot
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