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:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* 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
... 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

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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

doco 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