FHIR Implementation Guide for ABDM
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This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CommunicationRequest

Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/CommunicationRequest Version: 6.5.0
Draft as of 2025-03-18 Computable Name: CommunicationRequest

This profile sets the minimum requirement for a communication to be carried out, serving as a record of the communication request. In this context, a communication refers to the transmission of information from a sender to a receiver. The requester initiates the communication by asking the sender to convey the payload to the intended recipient. The sender and receivers involved in this process can encompass patients, practitioners, related persons, organizations, and devices.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
ele-1: All FHIR elements must have a @value or children
... subject 0..1 Reference(Group | Patient) Focus of message
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
ele-1: All FHIR elements must have a @value or children
... requester Σ 0..1 Reference(RelatedPerson | Device | Practitioner | PractitionerRole | Organization | Patient) Who/what is requesting service
ele-1: All FHIR elements must have a @value or children
... recipient 0..* Reference(Device | RelatedPerson | Group | CareTeam | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message recipient
ele-1: All FHIR elements must have a @value or children
... sender Σ 0..1 Reference(Device | RelatedPerson | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message sender
ele-1: All FHIR elements must have a @value or children
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReportImaging | DiagnosticReportLab | DocumentReference) Why is communication needed?
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent 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
... 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
... basedOn Σ 0..* Reference(Resource) Fulfills plan or proposal
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... statusReason 0..1 CodeableConcept Reason for current status
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a request.

... category 0..* CodeableConcept Message category
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject 0..1 Reference(Group | Patient) Focus of message
... about 0..* Reference(Resource) Resources that pertain to this communication request
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... payload 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
.... content[x] 1..1 Message part content
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
... occurrence[x] Σ 0..1 When scheduled
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
... authoredOn Σ 0..1 dateTime When request transitioned to being actionable
... requester Σ 0..1 Reference(RelatedPerson | Device | Practitioner | PractitionerRole | Organization | Patient) Who/what is requesting service
... recipient 0..* Reference(Device | RelatedPerson | Group | CareTeam | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message recipient
... sender Σ 0..1 Reference(Device | RelatedPerson | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message sender
... reasonCode Σ 0..* CodeableConcept Why is communication needed?
Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReportImaging | DiagnosticReportLab | DocumentReference) Why is communication needed?
... note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.statusReasonexample
CommunicationRequest.categoryexampleCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
CommunicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
CommunicationRequest.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.reasonCodeexampleActReason
http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent to a receiver
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
ele-1: All FHIR elements must have a @value or children
... subject 0..1 Reference(Group | Patient) Focus of message
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
ele-1: All FHIR elements must have a @value or children
... requester Σ 0..1 Reference(RelatedPerson | Device | Practitioner | PractitionerRole | Organization | Patient) Who/what is requesting service
ele-1: All FHIR elements must have a @value or children
... recipient 0..* Reference(Device | RelatedPerson | Group | CareTeam | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message recipient
ele-1: All FHIR elements must have a @value or children
... sender Σ 0..1 Reference(Device | RelatedPerson | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message sender
ele-1: All FHIR elements must have a @value or children
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReportImaging | DiagnosticReportLab | DocumentReference) Why is communication needed?
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CommunicationRequest 0..* CommunicationRequest A request for information to be sent 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
... 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
... basedOn Σ 0..* Reference(Resource) Fulfills plan or proposal
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.

... statusReason 0..1 CodeableConcept Reason for current status
Binding Description (No ValueSet): (example): Codes identifying the reason for the current state of a request.

... category 0..* CodeableConcept Message category
Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instruction, etc.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.


... subject 0..1 Reference(Group | Patient) Focus of message
... about 0..* Reference(Resource) Resources that pertain to this communication request
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... payload 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
.... content[x] 1..1 Message part content
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
... occurrence[x] Σ 0..1 When scheduled
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
... authoredOn Σ 0..1 dateTime When request transitioned to being actionable
... requester Σ 0..1 Reference(RelatedPerson | Device | Practitioner | PractitionerRole | Organization | Patient) Who/what is requesting service
... recipient 0..* Reference(Device | RelatedPerson | Group | CareTeam | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message recipient
... sender Σ 0..1 Reference(Device | RelatedPerson | HealthcareService | Organization | Patient | Practitioner | PractitionerRole) Message sender
... reasonCode Σ 0..* CodeableConcept Why is communication needed?
Binding: v3 Code System ActReason (example): Codes for describing reasons for the occurrence of a communication.


... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReportImaging | DiagnosticReportLab | DocumentReference) Why is communication needed?
... note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CommunicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
CommunicationRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
CommunicationRequest.statusReasonexample
CommunicationRequest.categoryexampleCommunicationCategory
http://hl7.org/fhir/ValueSet/communication-category
from the FHIR Standard
CommunicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
CommunicationRequest.mediumexampleParticipationMode
http://terminology.hl7.org/ValueSet/v3-ParticipationMode
CommunicationRequest.reasonCodeexampleActReason
http://terminology.hl7.org/ValueSet/v3-ActReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCommunicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCommunicationRequestIf 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-4errorCommunicationRequestIf 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-5errorCommunicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCommunicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron