Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest	C	0..*	CommunicationRequest	A request for information to be sent to a receiver dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management must-have-xml-and-rtf: If there is an XML, there must also be an RTF must-have-rtf-and-xml: If there is an RTF, there must also be an XML
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
DigitalOnly		0..1	boolean	Digital only flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
InvitationActionType		1..1	string	Action Type URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType Binding: Kalla Invitation Action Types (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
ResolveGuardiansFromPU		0..1	boolean	Resolve guardians from PU flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	ReferenceId ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	The status of the communication request Binding: RequestStatus (required): The status of the communication request. ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	The intent of the communication request Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
subject		1..1	Reference(Patient)	Reference to the Patient ele-1: All FHIR elements must have a @value or children
about		1..*	Reference(Invitation Appointment)	Reference to Appointment ele-1: All FHIR elements must have a @value or children
Slices for payload		0..2	BackboneElement	XML for digital content and RTF for content to be printed Slice: Unordered, Closed by value:content.ofType(Attachment).contentType ele-1: All FHIR elements must have a @value or children
payload:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
content[x]		1..1		Message part content ele-1: All FHIR elements must have a @value or children
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
payload:digital		0..1	BackboneElement	DocBook XML file ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content ele-1: All FHIR elements must have a @value or children
contentType	ΣC	1..1	code	Content type xml Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) ele-1: All FHIR elements must have a @value or children Required Pattern: application/xml
payload:print		0..1	BackboneElement	RTF File ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content ele-1: All FHIR elements must have a @value or children
contentType	ΣC	1..1	code	Content type rtf Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) ele-1: All FHIR elements must have a @value or children Required Pattern: application/rtf
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
CommunicationRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
CommunicationRequest.payload:digital.content[x]:contentAttachment.contentType	required	Pattern: application/xml http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard
CommunicationRequest.payload:print.content[x]:contentAttachment.contentType	required	Pattern: application/rtf http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
must-have-rtf-and-xml	error	CommunicationRequest	If there is an RTF, there must also be an XML : payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/xml').exists()
must-have-xml-and-rtf	error	CommunicationRequest	If there is an XML, there must also be an RTF : payload.where(content.ofType(Attachment).contentType = 'application/xml').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists()

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest	C	0..*	CommunicationRequest	A request for information to be sent to a receiver must-have-xml-and-rtf: If there is an XML, there must also be an RTF must-have-rtf-and-xml: If there is an RTF, there must also be an XML
meta
versionId		1..1	id	Version Id must be included
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DigitalOnly		0..1	boolean	Digital only flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly
InvitationActionType		1..1	string	Action Type URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType Binding: Kalla Invitation Action Types (required)
ResolveGuardiansFromPU		0..1	boolean	Resolve guardians from PU flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU
identifier		1..1	Identifier	ReferenceId
status		1..1	code	The status of the communication request
intent		1..1	code	The intent of the communication request
subject		1..1	Reference(Patient)	Reference to the Patient
about		1..*	Reference(Invitation Appointment)	Reference to Appointment
Slices for payload		0..2	BackboneElement	XML for digital content and RTF for content to be printed Slice: Unordered, Closed by value:content.ofType(Attachment).contentType
payload:digital		0..1	BackboneElement	DocBook XML file
Slices for content[x]		1..1	Attachment, Reference(Resource), CodeableConcept	Message part content Slice: Unordered, Open by type:$this
content[x]:contentAttachment		0..1	Attachment	Message part content
contentType		1..1	code	Content type xml Required Pattern: application/xml
payload:print		0..1	BackboneElement	RTF File
Slices for content[x]		1..1	Attachment, Reference(Resource), CodeableConcept	Message part content Slice: Unordered, Open by type:$this
content[x]:contentAttachment		0..1	Attachment	Message part content
contentType		1..1	code	Content type rtf Required Pattern: application/rtf
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
must-have-rtf-and-xml	error	CommunicationRequest	If there is an RTF, there must also be an XML : payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/xml').exists()
must-have-xml-and-rtf	error	CommunicationRequest	If there is an XML, there must also be an RTF : payload.where(content.ofType(Attachment).contentType = 'application/xml').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists()

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest	C	0..*	CommunicationRequest	A request for information to be sent to a receiver must-have-xml-and-rtf: If there is an XML, there must also be an RTF must-have-rtf-and-xml: If there is an RTF, there must also be an XML
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	1..1	id	Version Id must be included
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DigitalOnly		0..1	boolean	Digital only flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly
InvitationActionType		1..1	string	Action Type URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType Binding: Kalla Invitation Action Types (required)
ResolveGuardiansFromPU		0..1	boolean	Resolve guardians from PU flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	ReferenceId
basedOn	Σ	0..*	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CommunicationRequest)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	The status of the communication request Binding: RequestStatus (required): The status of the communication request.
statusReason		0..1	CodeableConcept	Reason for current status Binding: CommunicationRequestStatusReason (example): Codes identifying the reason for the current state of a request.
intent	?!Σ	1..1	code	The intent of the communication request Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
category		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject		1..1	Reference(Patient)	Reference to the Patient
about		1..*	Reference(Invitation Appointment)	Reference to Appointment
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this CommunicationRequest was created
Slices for payload		0..2	BackboneElement	XML for digital content and RTF for content to be printed Slice: Unordered, Closed by value:content.ofType(Attachment).contentType
payload:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
payload:digital		0..1	BackboneElement	DocBook XML file
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Content type xml Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: application/xml
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Set Example General: en-AU
data	C	0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
height		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages
payload:print		0..1	BackboneElement	RTF File
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Content type rtf Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: application/rtf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Set Example General: en-AU
data	C	0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
height		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages
occurrence[x]	Σ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	Σ	0..1	dateTime	When request transitioned to being actionable
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who asks for the information to be shared
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService | Endpoint)	Who to share the information with
informationProvider	Σ	0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint)	Who should share the information
reason	Σ	0..*	CodeableReference(Resource)	Why is communication needed? Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
CommunicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
CommunicationRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
CommunicationRequest.statusReason	example	CommunicationRequestStatusReason http://hl7.org/fhir/ValueSet/communication-request-status-reason from the FHIR Standard
CommunicationRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
CommunicationRequest.category	example	CommunicationCategory http://hl7.org/fhir/ValueSet/communication-category from the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
CommunicationRequest.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.payload:digital.content[x]:contentAttachment.contentType	required	Pattern: application/xml http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard
CommunicationRequest.payload:digital.content[x]:contentAttachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
CommunicationRequest.payload:print.content[x]:contentAttachment.contentType	required	Pattern: application/rtf http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard
CommunicationRequest.payload:print.content[x]:contentAttachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
CommunicationRequest.reason	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

Id	Grade	Path(s)	Details	Requirements
must-have-rtf-and-xml	error	CommunicationRequest	If there is an RTF, there must also be an XML : payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/xml').exists()
must-have-xml-and-rtf	error	CommunicationRequest	If there is an XML, there must also be an RTF : payload.where(content.ofType(Attachment).contentType = 'application/xml').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists()

Summary

Mandatory: 5 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient (http://bki.skane.se/invanartjanster/fhir/StructureDefinition/CommunicationPatient)
• Invitation Appointment (http://bki.skane.se/invanartjanster/fhir/StructureDefinition/InvitationAppointment)

Extensions

This structure refers to these extensions:

• http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly
• http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType
• http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CommunicationRequest.payload (Closed)
• The element 1 is sliced based on the value of CommunicationRequest.payload.content[x]

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest	C	0..*	CommunicationRequest	A request for information to be sent to a receiver dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management must-have-xml-and-rtf: If there is an XML, there must also be an RTF must-have-rtf-and-xml: If there is an RTF, there must also be an XML
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
DigitalOnly		0..1	boolean	Digital only flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
InvitationActionType		1..1	string	Action Type URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType Binding: Kalla Invitation Action Types (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
ResolveGuardiansFromPU		0..1	boolean	Resolve guardians from PU flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	1..1	Identifier	ReferenceId ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	The status of the communication request Binding: RequestStatus (required): The status of the communication request. ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	The intent of the communication request Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
subject		1..1	Reference(Patient)	Reference to the Patient ele-1: All FHIR elements must have a @value or children
about		1..*	Reference(Invitation Appointment)	Reference to Appointment ele-1: All FHIR elements must have a @value or children
Slices for payload		0..2	BackboneElement	XML for digital content and RTF for content to be printed Slice: Unordered, Closed by value:content.ofType(Attachment).contentType ele-1: All FHIR elements must have a @value or children
payload:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
content[x]		1..1		Message part content ele-1: All FHIR elements must have a @value or children
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
payload:digital		0..1	BackboneElement	DocBook XML file ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content ele-1: All FHIR elements must have a @value or children
contentType	ΣC	1..1	code	Content type xml Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) ele-1: All FHIR elements must have a @value or children Required Pattern: application/xml
payload:print		0..1	BackboneElement	RTF File ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content ele-1: All FHIR elements must have a @value or children
contentType	ΣC	1..1	code	Content type rtf Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) ele-1: All FHIR elements must have a @value or children Required Pattern: application/rtf
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
CommunicationRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
CommunicationRequest.payload:digital.content[x]:contentAttachment.contentType	required	Pattern: application/xml http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard
CommunicationRequest.payload:print.content[x]:contentAttachment.contentType	required	Pattern: application/rtf http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
must-have-rtf-and-xml	error	CommunicationRequest	If there is an RTF, there must also be an XML : payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/xml').exists()
must-have-xml-and-rtf	error	CommunicationRequest	If there is an XML, there must also be an RTF : payload.where(content.ofType(Attachment).contentType = 'application/xml').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists()

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest	C	0..*	CommunicationRequest	A request for information to be sent to a receiver must-have-xml-and-rtf: If there is an XML, there must also be an RTF must-have-rtf-and-xml: If there is an RTF, there must also be an XML
meta
versionId		1..1	id	Version Id must be included
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DigitalOnly		0..1	boolean	Digital only flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly
InvitationActionType		1..1	string	Action Type URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType Binding: Kalla Invitation Action Types (required)
ResolveGuardiansFromPU		0..1	boolean	Resolve guardians from PU flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU
identifier		1..1	Identifier	ReferenceId
status		1..1	code	The status of the communication request
intent		1..1	code	The intent of the communication request
subject		1..1	Reference(Patient)	Reference to the Patient
about		1..*	Reference(Invitation Appointment)	Reference to Appointment
Slices for payload		0..2	BackboneElement	XML for digital content and RTF for content to be printed Slice: Unordered, Closed by value:content.ofType(Attachment).contentType
payload:digital		0..1	BackboneElement	DocBook XML file
Slices for content[x]		1..1	Attachment, Reference(Resource), CodeableConcept	Message part content Slice: Unordered, Open by type:$this
content[x]:contentAttachment		0..1	Attachment	Message part content
contentType		1..1	code	Content type xml Required Pattern: application/xml
payload:print		0..1	BackboneElement	RTF File
Slices for content[x]		1..1	Attachment, Reference(Resource), CodeableConcept	Message part content Slice: Unordered, Open by type:$this
content[x]:contentAttachment		0..1	Attachment	Message part content
contentType		1..1	code	Content type rtf Required Pattern: application/rtf
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
must-have-rtf-and-xml	error	CommunicationRequest	If there is an RTF, there must also be an XML : payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/xml').exists()
must-have-xml-and-rtf	error	CommunicationRequest	If there is an XML, there must also be an RTF : payload.where(content.ofType(Attachment).contentType = 'application/xml').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists()

Name	Flags	Card.	Type	Description & Constraints
CommunicationRequest	C	0..*	CommunicationRequest	A request for information to be sent to a receiver must-have-xml-and-rtf: If there is an XML, there must also be an RTF must-have-rtf-and-xml: If there is an RTF, there must also be an XML
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	1..1	id	Version Id must be included
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DigitalOnly		0..1	boolean	Digital only flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly
InvitationActionType		1..1	string	Action Type URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType Binding: Kalla Invitation Action Types (required)
ResolveGuardiansFromPU		0..1	boolean	Resolve guardians from PU flag URL: http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	1..1	Identifier	ReferenceId
basedOn	Σ	0..*	Reference(Resource)	Fulfills plan or proposal
replaces	Σ	0..*	Reference(CommunicationRequest)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	The status of the communication request Binding: RequestStatus (required): The status of the communication request.
statusReason		0..1	CodeableConcept	Reason for current status Binding: CommunicationRequestStatusReason (example): Codes identifying the reason for the current state of a request.
intent	?!Σ	1..1	code	The intent of the communication request Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request.
category		0..*	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medium		0..*	CodeableConcept	A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject		1..1	Reference(Patient)	Reference to the Patient
about		1..*	Reference(Invitation Appointment)	Reference to Appointment
encounter	Σ	0..1	Reference(Encounter)	The Encounter during which this CommunicationRequest was created
Slices for payload		0..2	BackboneElement	XML for digital content and RTF for content to be printed Slice: Unordered, Closed by value:content.ofType(Attachment).contentType
payload:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
content[x]		1..1		Message part content
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
payload:digital		0..1	BackboneElement	DocBook XML file
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Content type xml Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: application/xml
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Set Example General: en-AU
data	C	0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
height		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages
payload:print		0..1	BackboneElement	RTF File
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1		Message part content Slice: Unordered, Open by type:$this
contentAttachment			Attachment
contentReference			Reference(Resource)
contentCodeableConcept			CodeableConcept
content[x]:contentAttachment		0..1	Attachment	Message part content
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Content type rtf Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: application/rtf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Set Example General: en-AU
data	C	0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
height		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages
occurrence[x]	Σ	0..1		When scheduled
occurrenceDateTime			dateTime
occurrencePeriod			Period
authoredOn	Σ	0..1	dateTime	When request transitioned to being actionable
requester	Σ	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who asks for the information to be shared
recipient		0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService | Endpoint)	Who to share the information with
informationProvider	Σ	0..*	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint)	Who should share the information
reason	Σ	0..*	CodeableReference(Resource)	Why is communication needed? Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.
note		0..*	Annotation	Comments made about communication request
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CommunicationRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
CommunicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
CommunicationRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
CommunicationRequest.status	required	RequestStatus http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
CommunicationRequest.statusReason	example	CommunicationRequestStatusReason http://hl7.org/fhir/ValueSet/communication-request-status-reason from the FHIR Standard
CommunicationRequest.intent	required	RequestIntent http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
CommunicationRequest.category	example	CommunicationCategory http://hl7.org/fhir/ValueSet/communication-category from the FHIR Standard
CommunicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
CommunicationRequest.medium	example	ParticipationMode http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.payload:digital.content[x]:contentAttachment.contentType	required	Pattern: application/xml http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard
CommunicationRequest.payload:digital.content[x]:contentAttachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
CommunicationRequest.payload:print.content[x]:contentAttachment.contentType	required	Pattern: application/rtf http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 from the FHIR Standard
CommunicationRequest.payload:print.content[x]:contentAttachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
CommunicationRequest.reason	example	ActReason http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

Id	Grade	Path(s)	Details	Requirements
must-have-rtf-and-xml	error	CommunicationRequest	If there is an RTF, there must also be an XML : payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/xml').exists()
must-have-xml-and-rtf	error	CommunicationRequest	If there is an XML, there must also be an RTF : payload.where(content.ofType(Attachment).contentType = 'application/xml').exists() implies payload.where(content.ofType(Attachment).contentType = 'application/rtf').exists()

Summary

Mandatory: 5 elements(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient (http://bki.skane.se/invanartjanster/fhir/StructureDefinition/CommunicationPatient)
• Invitation Appointment (http://bki.skane.se/invanartjanster/fhir/StructureDefinition/InvitationAppointment)

Extensions

This structure refers to these extensions:

• http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extDigitalOnly
• http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extInvitationActionType
• http://bki.skane.se/invanartjanster/fhir/StructureDefinition/extResolveGuardiansFromPU

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of CommunicationRequest.payload (Closed)
• The element 1 is sliced based on the value of CommunicationRequest.payload.content[x]