Amakomaya Nepal FHIR Implementation Guide
2.0.0 - ci-build Nepal

Amakomaya Nepal FHIR Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Amakomaya Communication

Official URL: https://fhir.amakomaya.com/StructureDefinition/amk-communication | Version: 2.0.0
Active as of 2026-08-21 | Computable Name: AMKCommunication
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Communication profile for uploading and storing files in the Amakomaya system.

Usages:

- Examples for this Profile: Communication/amk-communication-notification

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
subject | Σ | 1..1 | Reference(Patient | Group) | Focus of message
sent |  | 1..1 | dateTime | When sent
payload |  | 1..* | BackboneElement | Message payload
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
content[x] |  | 1..1 |  | Message part content
contentAttachment |  |  | Attachment |
contentReference |  |  | Reference(Resource) |
contentCodeableConcept |  |  | CodeableConcept |
contentString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Communication.status | Base | required | EventStatus | 📍6.0.0-ballot5 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Communication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`

This structure is derived from Communication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
subject |  | 1..1 | Reference(Patient | Group) | Focus of message
sent |  | 1..1 | dateTime | When sent
payload |  | 1..* | BackboneElement | Message payload
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Unique identifier
basedOn | Σ | 0..* | Reference(CarePlan | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) | Request fulfilled by this communication
partOf | Σ | 0..* | Reference(Resource) | Part of referenced event (e.g. Communication, Procedure)
inResponseTo |  | 0..* | Reference(Communication) | Reply to
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category |  | 0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium |  | 0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject | Σ | 1..1 | Reference(Patient | Group) | Focus of message
topic |  | 0..1 | CodeableConcept | Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about |  | 0..* | Reference(Resource) | Resources that pertain to this communication
encounter | Σ | 0..1 | Reference(Encounter) | The Encounter during which this Communication was created
sent |  | 1..1 | dateTime | When sent
received |  | 0..1 | dateTime | When received
recipient |  | 0..* | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) | Who the information is shared with
sender |  | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) | Who shares the information
reason | Σ | 0..* | CodeableReference(Resource) | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
payload |  | 1..* | BackboneElement | Message payload
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
content[x] |  | 1..1 |  | Message part content
contentAttachment |  |  | Attachment |
contentReference |  |  | Reference(Resource) |
contentCodeableConcept |  |  | CodeableConcept |
contentString |  |  | string |
note |  | 0..* | Annotation | Comments made about the communication
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Communication.language | Base | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
Communication.status | Base | required | EventStatus | 📍6.0.0-ballot5 | FHIR Std.
Communication.statusReason | Base | example | Communication Not Done Reason | 📍6.0.0-ballot5 | FHIR Std.
Communication.category | Base | example | Communication Category | 📍6.0.0-ballot5 | FHIR Std.
Communication.priority | Base | required | RequestPriority | 📍6.0.0-ballot5 | FHIR Std.
Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.3
Communication.topic | Base | example | Communication Topic | 📍6.0.0-ballot5 | FHIR Std.
Communication.reason | Base | example | SNOMED CT Clinical Findings | 📍6.0.0-ballot5 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Communication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`

This structure is derived from Communication

Summary

Mandatory: 3 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
subject | Σ | 1..1 | Reference(Patient | Group) | Focus of message
sent |  | 1..1 | dateTime | When sent
payload |  | 1..* | BackboneElement | Message payload
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
content[x] |  | 1..1 |  | Message part content
contentAttachment |  |  | Attachment |
contentReference |  |  | Reference(Resource) |
contentCodeableConcept |  |  | CodeableConcept |
contentString |  |  | string |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Communication.status | Base | required | EventStatus | 📍6.0.0-ballot5 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Communication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`

Differential View

This structure is derived from Communication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
subject |  | 1..1 | Reference(Patient | Group) | Focus of message
sent |  | 1..1 | dateTime | When sent
payload |  | 1..* | BackboneElement | Message payload
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Communication |  | 0..* | Communication | A clinical or business level record of information being transmitted or shared
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Unique identifier
basedOn | Σ | 0..* | Reference(CarePlan | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription) | Request fulfilled by this communication
partOf | Σ | 0..* | Reference(Resource) | Part of referenced event (e.g. Communication, Procedure)
inResponseTo |  | 0..* | Reference(Communication) | Reply to
status | ?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication.
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
category |  | 0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
medium |  | 0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
subject | Σ | 1..1 | Reference(Patient | Group) | Focus of message
topic |  | 0..1 | CodeableConcept | Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication.
about |  | 0..* | Reference(Resource) | Resources that pertain to this communication
encounter | Σ | 0..1 | Reference(Encounter) | The Encounter during which this Communication was created
sent |  | 1..1 | dateTime | When sent
received |  | 0..1 | dateTime | When received
recipient |  | 0..* | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) | Who the information is shared with
sender |  | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam) | Who shares the information
reason | Σ | 0..* | CodeableReference(Resource) | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
payload |  | 1..* | BackboneElement | Message payload
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
content[x] |  | 1..1 |  | Message part content
contentAttachment |  |  | Attachment |
contentReference |  |  | Reference(Resource) |
contentCodeableConcept |  |  | CodeableConcept |
contentString |  |  | string |
note |  | 0..* | Annotation | Comments made about the communication
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Communication.language | Base | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
Communication.status | Base | required | EventStatus | 📍6.0.0-ballot5 | FHIR Std.
Communication.statusReason | Base | example | Communication Not Done Reason | 📍6.0.0-ballot5 | FHIR Std.
Communication.category | Base | example | Communication Category | 📍6.0.0-ballot5 | FHIR Std.
Communication.priority | Base | required | RequestPriority | 📍6.0.0-ballot5 | FHIR Std.
Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.3
Communication.topic | Base | example | Communication Topic | 📍6.0.0-ballot5 | FHIR Std.
Communication.reason | Base | example | SNOMED CT Clinical Findings | 📍6.0.0-ballot5 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Communication | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Communication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Communication | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`

This structure is derived from Communication

Summary

Mandatory: 3 elements

Other representations of profile: CSV, Excel, Schematron