Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build
Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-communicationrequest | Version: 0.1.0 | ||||
| Draft as of 2026-07-24 | Computable Name: AtriusInCommunicationRequest | ||||
| Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.30 | |||||
Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Path | Status | Usage | ValueSet | Version | Source |
| CommunicationRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | CommunicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CommunicationRequest | 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 | CommunicationRequest | 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 | CommunicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CommunicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | CommunicationRequest.implicitRules, CommunicationRequest.modifierExtension, CommunicationRequest.replaces, CommunicationRequest.status, CommunicationRequest.doNotPerform, CommunicationRequest.subject, CommunicationRequest.encounter, CommunicationRequest.requester, CommunicationRequest.recipient, CommunicationRequest.sender, CommunicationRequest.reasonReference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | CommunicationRequest.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | CommunicationRequest(4.0.1) | A request for information to be sent to a receiver | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
![]() ![]() |
Σ | 0..* | Identifier | Unique identifier | ||||
![]() ![]() |
Σ | 0..* | Reference(Resource) | Fulfills plan or proposal | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core CommunicationRequest(0.1.0)) | Request(s) replaced by this request | ||||
![]() ![]() |
Σ | 0..1 | Identifier | Composite request this is part of | ||||
![]() ![]() |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request. | ||||
![]() ![]() |
0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request. | |||||
![]() ![]() |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc. | |||||
![]() ![]() |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request. | ||||
![]() ![]() |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
![]() ![]() |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
![]() ![]() |
0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Group(0.1.0)) | Focus of message | |||||
![]() ![]() |
0..* | Reference(Resource) | Resources that pertain to this communication request | |||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Encounter created as part of | ||||
![]() ![]() |
0..* | BackboneElement | Message payload | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() |
1..1 | Message part content | ||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() |
Reference(Resource) | |||||||
![]() ![]() |
Σ | 0..1 | When scheduled | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
Σ | 0..1 | dateTime | When request transitioned to being actionable | ||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Device(0.1.0)) | Who/what is requesting service | ||||
![]() ![]() |
0..* | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core CareTeam(0.1.0) | Atrius India Core Device(0.1.0) | Atrius India Core Group(0.1.0) | Atrius India Core HealthcareService(0.1.0)) | Message recipient | |||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Device(0.1.0) | Atrius India Core HealthcareService(0.1.0)) | Message sender | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication. | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core Condition(0.1.0)) | Why is communication needed? | ||||
![]() ![]() |
0..* | Annotation | Comments made about communication request | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| CommunicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.statusReason | Base | example | Not State | Unknown | |
| CommunicationRequest.category | Base | example | CommunicationCategory | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.medium | Base | example | ParticipationMode | 📍3.0.0 | THO v7.2 |
| CommunicationRequest.reasonCode | Base | example | v3 Code System ActReason | 📍3.0.0 | THO v7.2 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | CommunicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CommunicationRequest | 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 | CommunicationRequest | 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 | CommunicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CommunicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | CommunicationRequest.meta, CommunicationRequest.implicitRules, CommunicationRequest.language, CommunicationRequest.text, CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.identifier, CommunicationRequest.basedOn, CommunicationRequest.replaces, CommunicationRequest.groupIdentifier, CommunicationRequest.status, CommunicationRequest.statusReason, CommunicationRequest.category, CommunicationRequest.priority, CommunicationRequest.doNotPerform, CommunicationRequest.medium, CommunicationRequest.subject, CommunicationRequest.about, CommunicationRequest.encounter, CommunicationRequest.payload, CommunicationRequest.payload.extension, CommunicationRequest.payload.modifierExtension, CommunicationRequest.payload.content[x], CommunicationRequest.occurrence[x], CommunicationRequest.authoredOn, CommunicationRequest.requester, CommunicationRequest.recipient, CommunicationRequest.sender, CommunicationRequest.reasonCode, CommunicationRequest.reasonReference, CommunicationRequest.note | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.payload.extension, CommunicationRequest.payload.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Structures
This structure refers to these other structures:
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| CommunicationRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | CommunicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CommunicationRequest | 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 | CommunicationRequest | 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 | CommunicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CommunicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | CommunicationRequest.implicitRules, CommunicationRequest.modifierExtension, CommunicationRequest.replaces, CommunicationRequest.status, CommunicationRequest.doNotPerform, CommunicationRequest.subject, CommunicationRequest.encounter, CommunicationRequest.requester, CommunicationRequest.recipient, CommunicationRequest.sender, CommunicationRequest.reasonReference | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | CommunicationRequest.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | CommunicationRequest(4.0.1) | A request for information to be sent to a receiver | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
![]() ![]() |
Σ | 0..* | Identifier | Unique identifier | ||||
![]() ![]() |
Σ | 0..* | Reference(Resource) | Fulfills plan or proposal | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core CommunicationRequest(0.1.0)) | Request(s) replaced by this request | ||||
![]() ![]() |
Σ | 0..1 | Identifier | Composite request this is part of | ||||
![]() ![]() |
?!Σ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of the communication request. | ||||
![]() ![]() |
0..1 | CodeableConcept | Reason for current status Binding Description: (example): Codes identifying the reason for the current state of a request. | |||||
![]() ![]() |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc. | |||||
![]() ![]() |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication request. | ||||
![]() ![]() |
?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
![]() ![]() |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (3.0.0) (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
![]() ![]() |
0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Group(0.1.0)) | Focus of message | |||||
![]() ![]() |
0..* | Reference(Resource) | Resources that pertain to this communication request | |||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Encounter created as part of | ||||
![]() ![]() |
0..* | BackboneElement | Message payload | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() |
1..1 | Message part content | ||||||
![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() |
Attachment | |||||||
![]() ![]() ![]() ![]() |
Reference(Resource) | |||||||
![]() ![]() |
Σ | 0..1 | When scheduled | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
Σ | 0..1 | dateTime | When request transitioned to being actionable | ||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Device(0.1.0)) | Who/what is requesting service | ||||
![]() ![]() |
0..* | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core CareTeam(0.1.0) | Atrius India Core Device(0.1.0) | Atrius India Core Group(0.1.0) | Atrius India Core HealthcareService(0.1.0)) | Message recipient | |||||
![]() ![]() |
Σ | 0..1 | Reference(Atrius India Core Patient(0.1.0) | Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Device(0.1.0) | Atrius India Core HealthcareService(0.1.0)) | Message sender | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Why is communication needed? Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication. | ||||
![]() ![]() |
Σ | 0..* | Reference(Atrius India Core Condition(0.1.0)) | Why is communication needed? | ||||
![]() ![]() |
0..* | Annotation | Comments made about communication request | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| CommunicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.statusReason | Base | example | Not State | Unknown | |
| CommunicationRequest.category | Base | example | CommunicationCategory | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| CommunicationRequest.medium | Base | example | ParticipationMode | 📍3.0.0 | THO v7.2 |
| CommunicationRequest.reasonCode | Base | example | v3 Code System ActReason | 📍3.0.0 | THO v7.2 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | CommunicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | CommunicationRequest | 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 | CommunicationRequest | 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 | CommunicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | CommunicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | CommunicationRequest.meta, CommunicationRequest.implicitRules, CommunicationRequest.language, CommunicationRequest.text, CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.identifier, CommunicationRequest.basedOn, CommunicationRequest.replaces, CommunicationRequest.groupIdentifier, CommunicationRequest.status, CommunicationRequest.statusReason, CommunicationRequest.category, CommunicationRequest.priority, CommunicationRequest.doNotPerform, CommunicationRequest.medium, CommunicationRequest.subject, CommunicationRequest.about, CommunicationRequest.encounter, CommunicationRequest.payload, CommunicationRequest.payload.extension, CommunicationRequest.payload.modifierExtension, CommunicationRequest.payload.content[x], CommunicationRequest.occurrence[x], CommunicationRequest.authoredOn, CommunicationRequest.requester, CommunicationRequest.recipient, CommunicationRequest.sender, CommunicationRequest.reasonCode, CommunicationRequest.reasonReference, CommunicationRequest.note | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | CommunicationRequest.extension, CommunicationRequest.modifierExtension, CommunicationRequest.payload.extension, CommunicationRequest.payload.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron