Medtech ALEX® AU Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
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Resource Profile: Outbox

The ALEX Outbox that utilises the Communication resource

Usages:

• Use this Profile: Outbox Bundle
• Examples for this Profile: Communication/outbox-full-example and Communication/outbox-min-example

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..*	AlexCommunication	A record of information transmitted from a sender to a receiver
meta	Σ	1..1	Meta	Metadata about the resource
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣC	0..1	Identifier	Unique identifier Constraints: alex-outbox-external-reference-length
value	SΣ	0..1	string	The external reference number of the Outbox record/Message Example General: 123456
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. Required Pattern: completed
category	S	1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 423876004
display	Σ	0..1	string	Representation defined by the system Required Pattern: Clinical document (record artifact)
subject	SΣC	1..1	Reference(Patient | Group)	Focus of message Constraints: alex-outbox-display-length
sent	S	1..1	dateTime	When sent
sender	S	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
payload	S	1..1	BackboneElement	The vendor has to send base64 encoded data of the PDF version of the Webform submitted successfully
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1		Message part content Slice: Unordered, Closed by type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentAttachment	C	0..1	Attachment	Message part content Constraints: alex-outbox-attachment-title-length
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
data	S	1..1	base64Binary	Data inline, base64ed
title	SΣ	1..1	string	This will be sent by the vendor in the payload, must limit to 50 characters, otherwise the subject will be cutoff in the UI Example General: Official Corporate Logo
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.payload.​content[x]:contentAttachment.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
alex-outbox-attachment-title-length	error	Communication.payload.content[x]:contentAttachment	Attachment title size validation	title.empty() or title.length() <= 50
alex-outbox-display-length	error	Communication.subject	Patient external name size validation	display.empty() or display.length() <= 35
alex-outbox-external-reference-length	error	Communication.identifier	External reference size validation	value.empty() or value.length() <= 34
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 AlexCommunication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	AlexCommunication	A record of information transmitted from a sender to a receiver
meta		1..1	Meta	Metadata about the resource
profile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
identifier	C	0..1	Identifier	Unique identifier Constraints: alex-outbox-external-reference-length
use		0..0
type		0..0
system		0..0
value		0..1	string	The external reference number of the Outbox record/Message
period		0..0
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
category
coding
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 423876004
display		0..1	string	Representation defined by the system Required Pattern: Clinical document (record artifact)
subject	C	1..1	Reference(Patient | Group)	Focus of message Constraints: alex-outbox-display-length
payload		1..1	BackboneElement	The vendor has to send base64 encoded data of the PDF version of the Webform submitted successfully
Slices for content[x]				Content/Rules for all slices
content[x]:contentAttachment	C	0..1	Attachment	Message part content Constraints: alex-outbox-attachment-title-length
contentType		1..1	code	Mime type of the content, with charset etc. Required Pattern: application/pdf
title		1..1	string	This will be sent by the vendor in the payload, must limit to 50 characters, otherwise the subject will be cutoff in the UI
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
alex-outbox-attachment-title-length	error	Communication.payload.content[x]:contentAttachment	Attachment title size validation	title.empty() or title.length() <= 50
alex-outbox-display-length	error	Communication.subject	Patient external name size validation	display.empty() or display.length() <= 35
alex-outbox-external-reference-length	error	Communication.identifier	External reference size validation	value.empty() or value.length() <= 34

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	AlexCommunication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (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: CommonLanguages (preferred): A human language. Additional Bindings Purpose 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣC	0..1	Identifier	Unique identifier Constraints: alex-outbox-external-reference-length
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	string	The external reference number of the Outbox record/Message Example General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
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. Required Pattern: completed
category	S	1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
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: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 423876004
display	Σ	0..1	string	Representation defined by the system Required Pattern: Clinical document (record artifact)
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
subject	SΣC	1..1	Reference(Patient | Group)	Focus of message Constraints: alex-outbox-display-length
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	External name of patient
sent	S	1..1	dateTime	When sent
sender	S	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
payload	S	1..1	BackboneElement	The vendor has to send base64 encoded data of the PDF version of the Webform submitted successfully
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, Closed by type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentAttachment	C	0..1	Attachment	Message part content Constraints: alex-outbox-attachment-title-length
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data	S	1..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	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	1..1	string	This will be sent by the vendor in the payload, must limit to 50 characters, otherwise the subject will be cutoff in the UI Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Communication.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.category	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Communication.payload.​content[x]:contentAttachment.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
Communication.payload.​content[x]:contentAttachment.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
alex-outbox-attachment-title-length	error	Communication.payload.content[x]:contentAttachment	Attachment title size validation	title.empty() or title.length() <= 50
alex-outbox-display-length	error	Communication.subject	Patient external name size validation	display.empty() or display.length() <= 35
alex-outbox-external-reference-length	error	Communication.identifier	External reference size validation	value.empty() or value.length() <= 34
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 AlexCommunication

Summary

Mandatory: 2 elements
Must-Support: 1 element
Prohibited: 4 elements

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	AlexCommunication	A record of information transmitted from a sender to a receiver
meta	Σ	1..1	Meta	Metadata about the resource
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣC	0..1	Identifier	Unique identifier Constraints: alex-outbox-external-reference-length
value	SΣ	0..1	string	The external reference number of the Outbox record/Message Example General: 123456
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. Required Pattern: completed
category	S	1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 423876004
display	Σ	0..1	string	Representation defined by the system Required Pattern: Clinical document (record artifact)
subject	SΣC	1..1	Reference(Patient | Group)	Focus of message Constraints: alex-outbox-display-length
sent	S	1..1	dateTime	When sent
sender	S	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
payload	S	1..1	BackboneElement	The vendor has to send base64 encoded data of the PDF version of the Webform submitted successfully
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for content[x]		1..1		Message part content Slice: Unordered, Closed by type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentAttachment	C	0..1	Attachment	Message part content Constraints: alex-outbox-attachment-title-length
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
data	S	1..1	base64Binary	Data inline, base64ed
title	SΣ	1..1	string	This will be sent by the vendor in the payload, must limit to 50 characters, otherwise the subject will be cutoff in the UI Example General: Official Corporate Logo
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.payload.​content[x]:contentAttachment.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
alex-outbox-attachment-title-length	error	Communication.payload.content[x]:contentAttachment	Attachment title size validation	title.empty() or title.length() <= 50
alex-outbox-display-length	error	Communication.subject	Patient external name size validation	display.empty() or display.length() <= 35
alex-outbox-external-reference-length	error	Communication.identifier	External reference size validation	value.empty() or value.length() <= 34
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 AlexCommunication

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	AlexCommunication	A record of information transmitted from a sender to a receiver
meta		1..1	Meta	Metadata about the resource
profile	S	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
identifier	C	0..1	Identifier	Unique identifier Constraints: alex-outbox-external-reference-length
use		0..0
type		0..0
system		0..0
value		0..1	string	The external reference number of the Outbox record/Message
period		0..0
status		1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Required Pattern: completed
category
coding
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 423876004
display		0..1	string	Representation defined by the system Required Pattern: Clinical document (record artifact)
subject	C	1..1	Reference(Patient | Group)	Focus of message Constraints: alex-outbox-display-length
payload		1..1	BackboneElement	The vendor has to send base64 encoded data of the PDF version of the Webform submitted successfully
Slices for content[x]				Content/Rules for all slices
content[x]:contentAttachment	C	0..1	Attachment	Message part content Constraints: alex-outbox-attachment-title-length
contentType		1..1	code	Mime type of the content, with charset etc. Required Pattern: application/pdf
title		1..1	string	This will be sent by the vendor in the payload, must limit to 50 characters, otherwise the subject will be cutoff in the UI
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
alex-outbox-attachment-title-length	error	Communication.payload.content[x]:contentAttachment	Attachment title size validation	title.empty() or title.length() <= 50
alex-outbox-display-length	error	Communication.subject	Patient external name size validation	display.empty() or display.length() <= 35
alex-outbox-external-reference-length	error	Communication.identifier	External reference size validation	value.empty() or value.length() <= 34

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Communication		0..*	AlexCommunication	A record of information transmitted from a sender to a receiver
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (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: CommonLanguages (preferred): A human language. Additional Bindings Purpose 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣC	0..1	Identifier	Unique identifier Constraints: alex-outbox-external-reference-length
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	string	The external reference number of the Outbox record/Message Example General: 123456
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
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. Required Pattern: completed
category	S	1..1	CodeableConcept	Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc.
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: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 423876004
display	Σ	0..1	string	Representation defined by the system Required Pattern: Clinical document (record artifact)
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
subject	SΣC	1..1	Reference(Patient | Group)	Focus of message Constraints: alex-outbox-display-length
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	External name of patient
sent	S	1..1	dateTime	When sent
sender	S	1..1	Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)	Message sender
payload	S	1..1	BackboneElement	The vendor has to send base64 encoded data of the PDF version of the Webform submitted successfully
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, Closed by type:$this
contentString			string
contentAttachment			Attachment
contentReference			Reference(Resource)
content[x]:contentAttachment	C	0..1	Attachment	Message part content Constraints: alex-outbox-attachment-title-length
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data	S	1..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	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	1..1	string	This will be sent by the vendor in the payload, must limit to 50 characters, otherwise the subject will be cutoff in the UI Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Communication.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Communication.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Communication.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Communication.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Communication.category	Base	example	CommunicationCategory	📍4.0.1	FHIR Std.
Communication.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Communication.payload.​content[x]:contentAttachment.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
Communication.payload.​content[x]:contentAttachment.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
alex-outbox-attachment-title-length	error	Communication.payload.content[x]:contentAttachment	Attachment title size validation	title.empty() or title.length() <= 50
alex-outbox-display-length	error	Communication.subject	Patient external name size validation	display.empty() or display.length() <= 35
alex-outbox-external-reference-length	error	Communication.identifier	External reference size validation	value.empty() or value.length() <= 34
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 AlexCommunication

Summary

Mandatory: 2 elements
Must-Support: 1 element
Prohibited: 4 elements

Other representations of profile: CSV, Excel, Schematron