German Practice Management FHIR Profiles (R4)
0.49.0 - STU1 Germany flag

German Practice Management FHIR Profiles (R4) - Local Development build (v0.49.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Praxis Communication

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/praxis-communication Version: 0.49.0
Active as of 2026-05-04 Computable Name: PraxisCommunication
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.162

Communication-Profil fuer die ambulante Praxis. Bildet Kommunikationseintraege (Notizen, Telefonprotokolle, interne Mitteilungen) im Krankenblatt ab.

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 record of information transmitted from a sender to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
.... category:praxis-kategorie S 0..1 CodeableConcept Message category
Binding: Praxis Communication Category (required)
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/praxis-communication-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 0..1 Reference(Patient) Focus of message
... sent S 0..1 dateTime When sent
... payload S 0..* BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for content[x] S 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentString S 0..1 string Message part content

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.category Base example CommunicationCategory 📍4.0.1 FHIR Std.
Communication.category:praxis-kategorie Base required Praxis Communication Category 📦0.49.0 This IG

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 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-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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... Slices for category S 0..* CodeableConcept Message category
Slice: Unordered, Open by value:coding.system
.... category:praxis-kategorie S 0..1 CodeableConcept Message category
Binding: Praxis Communication Category (required)
..... coding S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/praxis-communication-category
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 0..1 Reference(Patient) Focus of message
... payload S 0..* BackboneElement Message payload
.... Slices for content[x] S 1..1 string, Attachment, Reference(Resource) Message part content
Slice: Unordered, Open by type:$this
..... content[x]:contentString S 0..1 string Message part content

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.category:praxis-kategorie Base required Praxis Communication Category 📦0.49.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) Part of this action
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!SΣ 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.
... Slices for category S 0..* CodeableConcept Message category
Slice: Unordered, Open by value:coding.system
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
.... category:praxis-kategorie S 0..1 CodeableConcept Message category
Binding: Praxis Communication Category (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/praxis-communication-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... 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 SΣ 0..1 Reference(Patient) 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) Encounter created as part of
... sent S 0..1 dateTime When sent
... received 0..1 dateTime When received
... recipient 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Message recipient
... sender 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Message sender
... reasonCode Σ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
... payload S 0..* BackboneElement Message payload
.... 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] S 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentString S 0..1 string Message part content
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.statusReason Base example CommunicationNotDoneReason 📍4.0.1 FHIR Std.
Communication.category Base example CommunicationCategory 📍4.0.1 FHIR Std.
Communication.category:praxis-kategorie Base required Praxis Communication Category 📦0.49.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base example ParticipationMode 📦3.0.0 THO v7.1
Communication.topic Base example CommunicationTopic 📍4.0.1 FHIR Std.
Communication.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 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 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-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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Communication

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 11 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Communication.category
  • The element 1 is sliced based on the value of Communication.payload.content[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
.... category:praxis-kategorie S 0..1 CodeableConcept Message category
Binding: Praxis Communication Category (required)
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/praxis-communication-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 0..1 Reference(Patient) Focus of message
... sent S 0..1 dateTime When sent
... payload S 0..* BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for content[x] S 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentString S 0..1 string Message part content

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.category Base example CommunicationCategory 📍4.0.1 FHIR Std.
Communication.category:praxis-kategorie Base required Praxis Communication Category 📦0.49.0 This IG

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 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-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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Communication

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... status S 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
... Slices for category S 0..* CodeableConcept Message category
Slice: Unordered, Open by value:coding.system
.... category:praxis-kategorie S 0..1 CodeableConcept Message category
Binding: Praxis Communication Category (required)
..... coding S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/praxis-communication-category
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 0..1 Reference(Patient) Focus of message
... payload S 0..* BackboneElement Message payload
.... Slices for content[x] S 1..1 string, Attachment, Reference(Resource) Message part content
Slice: Unordered, Open by type:$this
..... content[x]:contentString S 0..1 string Message part content

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.category:praxis-kategorie Base required Praxis Communication Category 📦0.49.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* Communication A record of information transmitted from a sender to a receiver
... 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) Part of this action
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!SΣ 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.
... Slices for category S 0..* CodeableConcept Message category
Slice: Unordered, Open by value:coding.system
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
.... category:praxis-kategorie S 0..1 CodeableConcept Message category
Binding: Praxis Communication Category (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: https://fhir.cognovis.de/praxis/CodeSystem/praxis-communication-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... 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 SΣ 0..1 Reference(Patient) 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) Encounter created as part of
... sent S 0..1 dateTime When sent
... received 0..1 dateTime When received
... recipient 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Message recipient
... sender 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Message sender
... reasonCode Σ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
... payload S 0..* BackboneElement Message payload
.... 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] S 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentString S 0..1 string Message part content
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.statusReason Base example CommunicationNotDoneReason 📍4.0.1 FHIR Std.
Communication.category Base example CommunicationCategory 📍4.0.1 FHIR Std.
Communication.category:praxis-kategorie Base required Praxis Communication Category 📦0.49.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base example ParticipationMode 📦3.0.0 THO v7.1
Communication.topic Base example CommunicationTopic 📍4.0.1 FHIR Std.
Communication.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 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 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-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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Communication

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 11 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Communication.category
  • The element 1 is sliced based on the value of Communication.payload.content[x]

 

Other representations of profile: CSV, Excel, Schematron