minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0-ballot - STU4 Ballot United States of America flag

minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: mCODE Patient Bundle Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-patient-bundle Version: 4.0.0-ballot
Active as of 2024-04-09 Maturity Level: 1 Computable Name: MCODEPatientBundle
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.38

A collection of data for an mCODE cancer patient.

Usage

The bundle SHALL contain exactly one Patient resource conforming to the CancerPatient profile (any patient conforming with US Core Patient is also conformant). The bundle SHALL also contain following mCODE-conformant resources, if available to the server:

In addition, the bundle SHOULD contain the following non-mCODE resources, following appropriate US Core profiles:

  • US Core Observation resources representing vital signs, e.g., patient height, weight, blood pressure
  • Laboratory results from Comprehensive Metabolic Panels (CMP) and Complete Blood Counts (CBC)
  • Relevant resources from the Genomic Reporting IG that interpret genomic findings in terms of implications or medication recommendations, including but not limited to DiagnosticImplication resources representing evidence for or against a particular disease, condition, or cancer diagnosis.
  • Additional resources relevant to the patient but not part of mCODE, such as smoking status, family member history, and diagnostic procedures.
  • Any other resources deemed relevant to care of the cancer patient

By default, this Bundle includes all required resources described above, irrespective of care dates associated with the resources. For some types of resources, such as vital signs, a very large number of resources will therefore be included by default. To limit the number of included resources, callers MAY specify start and end parameters when requesting a patient’s mCODE bundle via the Sender’s FHIR API, which operate in the same way as for the Fetch Patient Record operation.

Conformance

The bundle itself SHALL validate against the current profile.

Usage:

Changes since version true:

  • No changes
  • Formal Views of Profile Content

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

    This structure is derived from Bundle

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Bundle 0..* Bundle Contains a collection of resources
    ... type 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
    Required Pattern: collection
    ... timestamp S 0..1 instant When the bundle was assembled
    ... Slices for entry S 1..* BackboneElement Entry in the bundle - will have a resource or information
    Slice: Unordered, Open by type:resource
    .... entry:All Slices Content/Rules for all slices
    ..... resource S 1..1 Resource A resource in the bundle
    .... entry:cancerPatient S 1..1 BackboneElement Cancer Patient
    ..... resource 0..1 CancerPatient Information about an individual or animal receiving health care services
    .... entry:mcodeObservations S 0..* BackboneElement FHIR Observation Resources, if they exist for the patient, including but not limited to: CancerDiseaseStatus, CancerStage (TNM and non-TNM), Comorbidities, ECOGPerformanceStatus, GenomicRegionStudied, GenomicVariant, KarnofskyPerformanceStatus, TumorMarkerTest, TumorSize, and USCoreVitalSigns.
    ..... resource 0..1 Observation A resource in the bundle
    .... entry:mcodeConditions S 0..* BackboneElement FHIR Condition Resources, if they exist for the patient, including but not limited to: PrimaryCancerCondition, SecondaryCancerCondition, and HistoryOfMetastaticCancer.
    ..... resource 0..1 Condition A resource in the bundle
    .... entry:mcodeMedicationAdministrations S 0..* BackboneElement FHIR Medication Administration Resources, if they exist for the patient, including but not limited to: CancerRelatedMedicationAdministration.
    ..... resource 0..1 MedicationAdministration A resource in the bundle
    .... entry:mcodeMedicationRequests S 0..* BackboneElement FHIR Medication Request Resources, if they exist for the patient, including but not limited to: CancerRelatedMedicationRequest.
    ..... resource 0..1 MedicationRequest A resource in the bundle
    .... entry:mcodeDiagnosticReports S 0..* BackboneElement FHIR Diagnostic Report Resources, if they exist for the patient, including but not limited to: GenomicsReport.
    ..... resource 0..1 DiagnosticReport A resource in the bundle
    .... entry:mcodeSpecimens S 0..* BackboneElement FHIR Specimen Resources, if they exist for the patient, including but not limited to: HumanSpecimen.
    ..... resource 0..1 Specimen A resource in the bundle
    .... entry:mcodeProcedures S 0..* BackboneElement FHIR Procedure Resources, if they exist for the patient, including but not limited to: CancerRelatedSurgicalProcedure and RadiotherapyCourseSummary.
    ..... resource 0..1 Procedure A resource in the bundle
    .... entry:mcodeBodyStructures S 0..* BackboneElement FHIR BodyStructure Resources, if they exist for the patient, including but not limited to: RadiotherapyVolume and Tumor.
    ..... resource 0..1 BodyStructure A resource in the bundle

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Bundle C 0..* Bundle Contains a collection of resources
    bdl-1: total only when a search or history
    bdl-2: entry.search only when a search
    bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
    bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
    bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
    bdl-9: A document must have an identifier with a system and a value
    bdl-10: A document must have a date
    bdl-11: A document must have a Composition as the first resource
    bdl-12: A message must have a MessageHeader as the first resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... type Σ 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
    Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


    Required Pattern: collection
    ... timestamp SΣ 0..1 instant When the bundle was assembled
    .... entry:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource SΣ 1..1 Resource A resource in the bundle
    .... entry:cancerPatient SΣC 1..1 BackboneElement Cancer Patient
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource S 0..1 CancerPatient Information about an individual or animal receiving health care services
    .... entry:mcodeObservations SΣC 0..* BackboneElement FHIR Observation Resources, if they exist for the patient, including but not limited to: CancerDiseaseStatus, CancerStage (TNM and non-TNM), Comorbidities, ECOGPerformanceStatus, GenomicRegionStudied, GenomicVariant, KarnofskyPerformanceStatus, TumorMarkerTest, TumorSize, and USCoreVitalSigns.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 Observation A resource in the bundle
    .... entry:mcodeConditions SΣC 0..* BackboneElement FHIR Condition Resources, if they exist for the patient, including but not limited to: PrimaryCancerCondition, SecondaryCancerCondition, and HistoryOfMetastaticCancer.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 Condition A resource in the bundle
    .... entry:mcodeMedicationAdministrations SΣC 0..* BackboneElement FHIR Medication Administration Resources, if they exist for the patient, including but not limited to: CancerRelatedMedicationAdministration.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 MedicationAdministration A resource in the bundle
    .... entry:mcodeMedicationRequests SΣC 0..* BackboneElement FHIR Medication Request Resources, if they exist for the patient, including but not limited to: CancerRelatedMedicationRequest.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 MedicationRequest A resource in the bundle
    .... entry:mcodeDiagnosticReports SΣC 0..* BackboneElement FHIR Diagnostic Report Resources, if they exist for the patient, including but not limited to: GenomicsReport.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 DiagnosticReport A resource in the bundle
    .... entry:mcodeSpecimens SΣC 0..* BackboneElement FHIR Specimen Resources, if they exist for the patient, including but not limited to: HumanSpecimen.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 Specimen A resource in the bundle
    .... entry:mcodeProcedures SΣC 0..* BackboneElement FHIR Procedure Resources, if they exist for the patient, including but not limited to: CancerRelatedSurgicalProcedure and RadiotherapyCourseSummary.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 Procedure A resource in the bundle
    .... entry:mcodeBodyStructures SΣC 0..* BackboneElement FHIR BodyStructure Resources, if they exist for the patient, including but not limited to: RadiotherapyVolume and Tumor.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ..... resource Σ 0..1 BodyStructure A resource in the bundle

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Bundle.typerequiredPattern: collection
    http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
    from the FHIR Standard
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Bundle C 0..* Bundle Contains a collection of resources
    bdl-1: total only when a search or history
    bdl-2: entry.search only when a search
    bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
    bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
    bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
    bdl-9: A document must have an identifier with a system and a value
    bdl-10: A document must have a date
    bdl-11: A document must have a Composition as the first resource
    bdl-12: A message must have a MessageHeader as the first resource
    ... 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
    ... identifier Σ 0..1 Identifier Persistent identifier for the bundle
    ... type Σ 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
    Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


    Required Pattern: collection
    ... timestamp SΣ 0..1 instant When the bundle was assembled
    ... total ΣC 0..1 unsignedInt If search, the total number of matches
    ... link Σ 0..* BackboneElement Links related to this Bundle
    .... 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
    .... relation Σ 1..1 string See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
    .... url Σ 1..1 uri Reference details for the link
    ... Slices for entry SΣC 1..* BackboneElement Entry in the bundle - will have a resource or information
    Slice: Unordered, Open by type:resource
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    .... entry:All Slices Content/Rules for all slices
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource SΣ 1..1 Resource A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:cancerPatient SΣC 1..1 BackboneElement Cancer Patient
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource S 0..1 CancerPatient Information about an individual or animal receiving health care services
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeObservations SΣC 0..* BackboneElement FHIR Observation Resources, if they exist for the patient, including but not limited to: CancerDiseaseStatus, CancerStage (TNM and non-TNM), Comorbidities, ECOGPerformanceStatus, GenomicRegionStudied, GenomicVariant, KarnofskyPerformanceStatus, TumorMarkerTest, TumorSize, and USCoreVitalSigns.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 Observation A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeConditions SΣC 0..* BackboneElement FHIR Condition Resources, if they exist for the patient, including but not limited to: PrimaryCancerCondition, SecondaryCancerCondition, and HistoryOfMetastaticCancer.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 Condition A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeMedicationAdministrations SΣC 0..* BackboneElement FHIR Medication Administration Resources, if they exist for the patient, including but not limited to: CancerRelatedMedicationAdministration.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 MedicationAdministration A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeMedicationRequests SΣC 0..* BackboneElement FHIR Medication Request Resources, if they exist for the patient, including but not limited to: CancerRelatedMedicationRequest.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 MedicationRequest A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeDiagnosticReports SΣC 0..* BackboneElement FHIR Diagnostic Report Resources, if they exist for the patient, including but not limited to: GenomicsReport.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 DiagnosticReport A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeSpecimens SΣC 0..* BackboneElement FHIR Specimen Resources, if they exist for the patient, including but not limited to: HumanSpecimen.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 Specimen A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeProcedures SΣC 0..* BackboneElement FHIR Procedure Resources, if they exist for the patient, including but not limited to: CancerRelatedSurgicalProcedure and RadiotherapyCourseSummary.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 Procedure A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    .... entry:mcodeBodyStructures SΣC 0..* BackboneElement FHIR BodyStructure Resources, if they exist for the patient, including but not limited to: RadiotherapyVolume and Tumor.
    bdl-5: must be a resource unless there's a request or response
    bdl-8: fullUrl cannot be a version specific reference
    This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
    ..... 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
    ..... link Σ 0..* See link (Bundle) Links related to this entry
    ..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
    ..... resource Σ 0..1 BodyStructure A resource in the bundle
    ..... search ΣC 0..1 BackboneElement Search related information
    ...... 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
    ...... mode Σ 0..1 code match | include | outcome - why this is in the result set
    Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

    ...... score Σ 0..1 decimal Search ranking (between 0 and 1)
    ..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
    ...... 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
    ...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
    Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

    ...... url Σ 1..1 uri URL for HTTP equivalent of this entry
    ...... ifNoneMatch Σ 0..1 string For managing cache currency
    ...... ifModifiedSince Σ 0..1 instant For managing cache currency
    ...... ifMatch Σ 0..1 string For managing update contention
    ...... ifNoneExist Σ 0..1 string For conditional creates
    ..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
    ...... 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
    ...... status Σ 1..1 string Status response code (text optional)
    ...... location Σ 0..1 uri The location (if the operation returns a location)
    ...... etag Σ 0..1 string The Etag for the resource (if relevant)
    ...... lastModified Σ 0..1 instant Server's date time modified
    ...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
    ... signature Σ 0..1 Signature Digital Signature

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Bundle.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Bundle.typerequiredPattern: collection
    http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
    from the FHIR Standard
    Bundle.entry.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:cancerPatient.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:cancerPatient.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeObservations.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeObservations.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeConditions.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeConditions.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeMedicationAdministrations.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeMedicationAdministrations.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeMedicationRequests.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeMedicationRequests.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeDiagnosticReports.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeDiagnosticReports.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeSpecimens.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeSpecimens.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeProcedures.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeProcedures.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeBodyStructures.search.moderequiredSearchEntryMode
    http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
    from the FHIR Standard
    Bundle.entry:mcodeBodyStructures.request.methodrequiredHTTPVerb
    http://hl7.org/fhir/ValueSet/http-verb|4.0.1
    from the FHIR Standard