<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="NHSHC-Communication" />
  <url value="https://fhir.nhs.uk/StructureDefinition/NHSHC-Communication" />
  <version value="0.1.0" />
  <name value="NHSHCCommunication" />
  <title value="NHSHC Communication" />
  <status value="draft" />
  <date value="2026-06-23" />
  <publisher value="NHS England" />
  <description value="Derived profile from FHIR R4 Communication for NHS Health Check Online. Enforces status=completed and requires a category from http://terminology.hl7.org/ValueSet/communication-category. Conveys interim update notifications to GP practice." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Communication" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Communication" />
  <derivation value="constraint" />
  <differential>
    <element id="Communication">
      <path value="Communication" />
    </element>
    <element id="Communication.status">
      <path value="Communication.status" />
      <min value="1" />
      <fixedCode value="completed" />
    </element>
    <element id="Communication.category">
      <path value="Communication.category" />
      <min value="1" />
      <binding>
        <strength value="required" />
        <valueSet value="http://terminology.hl7.org/ValueSet/communication-category" />
      </binding>
    </element>
    <element id="Communication.subject">
      <path value="Communication.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
      </type>
    </element>
    <element id="Communication.encounter">
      <path value="Communication.encounter" />
      <min value="1" />
    </element>
    <element id="Communication.sent">
      <path value="Communication.sent" />
      <min value="1" />
    </element>
    <element id="Communication.recipient">
      <path value="Communication.recipient" />
      <min value="1" />
    </element>
    <element id="Communication.sender">
      <path value="Communication.sender" />
      <min value="1" />
    </element>
    <element id="Communication.payload">
      <path value="Communication.payload" />
      <min value="1" />
    </element>
    <element id="Communication.payload.content[x]">
      <path value="Communication.payload.content[x]" />
      <type>
        <code value="string" />
      </type>
    </element>
  </differential>
</StructureDefinition>