HL7 FHIR Costa Rica - Core, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/core/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: Documento Clínico Electrónico

Perfil Bundle para representar documentos clínicos electrónicos en formato Bundle, incluyendo soporte para firma digital y metadatos específicos del documento.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(5.0.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	SΣC	1..1	Identifier	Identificador único del documento clínico.
type	SΣC	1..1	code	Tipo de documento clínico. Binding: BundleType (required): ValueSet de tipos de Bundle definidos en FHIR.
timestamp	SΣC	1..1	instant	Fecha y hora de creación del documento clínico.
entry	SΣC	1..*	BackboneElement	Entradas del documento clínico. Constraints: bdl-5, bdl-8 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 Constraints: ext-1
fullUrl	ΣC	0..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	0..1	Resource	A resource in the bundle
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	ΣC	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
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
signature	SΣ	1..1	Signature	Firma digital del documento clínico.
type	SΣ	1..*	Coding	Tipo de firma digital. Binding: SignatureTypeCodes (required): ValueSet de tipos de firma definidos en FHIR.
when	SΣ	1..1	instant	Fecha y hora de la firma digital.
who	SΣ	1..1	Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))	Entidad que realizó la firma digital.
onBehalfOf	SΣ	0..1	Reference(Organización(0.0.1-ballot))	Firma en representación de otra entidad.
targetFormat	S	0..1	code	Formato de destino del documento clínico. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: json
sigFormat	S	0..1	code	Formato de la firma digital. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: jades
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.signature.type	Base	required	Signature Type Codes	📍5.0.0	FHIR Std.
Bundle.signature.targetFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.
Bundle.signature.sigFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.implicitRules, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry.fullUrl, Bundle.entry.request, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.response, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.signature, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.onBehalfOf, Bundle.signature.targetFormat, Bundle.signature.sigFormat	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.entry.modifierExtension, Bundle.entry.request.modifierExtension, Bundle.entry.response.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	Bundle(5.0.0)	Contains a collection of resources
meta
security		0..*	Coding	Etiqueta de seguridad Binding: Confidentiality (3.0.0) (required)
identifier	S	1..1	Identifier	Identificador único del documento clínico.
type	S	1..1	code	Tipo de documento clínico. Binding: BundleType (required): ValueSet de tipos de Bundle definidos en FHIR.
timestamp	S	1..1	instant	Fecha y hora de creación del documento clínico.
entry	S	1..*	BackboneElement	Entradas del documento clínico.
signature	S	1..1	Signature	Firma digital del documento clínico.
type	S	1..*	Coding	Tipo de firma digital. Binding: SignatureTypeCodes (required): ValueSet de tipos de firma definidos en FHIR.
when	S	1..1	instant	Fecha y hora de la firma digital.
who	S	1..1	Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))	Entidad que realizó la firma digital.
onBehalfOf	S	0..1	Reference(Organización(0.0.1-ballot))	Firma en representación de otra entidad.
targetFormat	S	0..1	code	Formato de destino del documento clínico. Required Pattern: json
sigFormat	S	0..1	code	Formato de la firma digital. Required Pattern: jades
issues		0..0		Issues with the Bundle
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.meta.security	Base	required	Confidentiality	📍3.0.0	THO v7.0
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.signature.type	Base	required	Signature Type Codes	📍5.0.0	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(5.0.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Etiqueta de seguridad Binding: Confidentiality (3.0.0) (required)
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
identifier	SΣC	1..1	Identifier	Identificador único del documento clínico.
type	SΣC	1..1	code	Tipo de documento clínico. Binding: BundleType (required): ValueSet de tipos de Bundle definidos en FHIR.
timestamp	SΣC	1..1	instant	Fecha y hora de creación del documento clínico.
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relation	ΣC	1..1	code	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url	ΣC	1..1	uri	Reference details for the link
entry	SΣC	1..*	BackboneElement	Entradas del documento clínico. Constraints: bdl-5, bdl-8 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	ΣC	0..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	0..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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include - 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	ΣC	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 validation
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	SΣ	1..1	Signature	Firma digital del documento clínico.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
type	SΣ	1..*	Coding	Tipo de firma digital. Binding: SignatureTypeCodes (required): ValueSet de tipos de firma definidos en FHIR.
when	SΣ	1..1	instant	Fecha y hora de la firma digital.
who	SΣ	1..1	Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))	Entidad que realizó la firma digital.
onBehalfOf	SΣ	0..1	Reference(Organización(0.0.1-ballot))	Firma en representación de otra entidad.
targetFormat	S	0..1	code	Formato de destino del documento clínico. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: json
sigFormat	S	0..1	code	Formato de la firma digital. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: jades
data		0..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.meta.security	Base	required	Confidentiality	📍3.0.0	THO v7.0
Bundle.meta.tag	Base	example	Common Tags	📍5.0.0	FHIR Std.
Bundle.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	FHIR Std.
Bundle.entry.search.​mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.signature.type	Base	required	Signature Type Codes	📍5.0.0	FHIR Std.
Bundle.signature.targetFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.
Bundle.signature.sigFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.meta, Bundle.meta.extension, Bundle.meta.versionId, Bundle.meta.lastUpdated, Bundle.meta.source, Bundle.meta.profile, Bundle.meta.security, Bundle.meta.tag, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.signature, Bundle.signature.extension, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.onBehalfOf, Bundle.signature.targetFormat, Bundle.signature.sigFormat, Bundle.signature.data	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.meta.extension, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.signature.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 7 elements
Must-Support: 11 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Profesional de la Salud (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot)
• Organización (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot)

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(5.0.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	SΣC	1..1	Identifier	Identificador único del documento clínico.
type	SΣC	1..1	code	Tipo de documento clínico. Binding: BundleType (required): ValueSet de tipos de Bundle definidos en FHIR.
timestamp	SΣC	1..1	instant	Fecha y hora de creación del documento clínico.
entry	SΣC	1..*	BackboneElement	Entradas del documento clínico. Constraints: bdl-5, bdl-8 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 Constraints: ext-1
fullUrl	ΣC	0..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	0..1	Resource	A resource in the bundle
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	ΣC	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
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
signature	SΣ	1..1	Signature	Firma digital del documento clínico.
type	SΣ	1..*	Coding	Tipo de firma digital. Binding: SignatureTypeCodes (required): ValueSet de tipos de firma definidos en FHIR.
when	SΣ	1..1	instant	Fecha y hora de la firma digital.
who	SΣ	1..1	Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))	Entidad que realizó la firma digital.
onBehalfOf	SΣ	0..1	Reference(Organización(0.0.1-ballot))	Firma en representación de otra entidad.
targetFormat	S	0..1	code	Formato de destino del documento clínico. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: json
sigFormat	S	0..1	code	Formato de la firma digital. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: jades
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.signature.type	Base	required	Signature Type Codes	📍5.0.0	FHIR Std.
Bundle.signature.targetFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.
Bundle.signature.sigFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.implicitRules, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry.fullUrl, Bundle.entry.request, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.response, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.signature, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.onBehalfOf, Bundle.signature.targetFormat, Bundle.signature.sigFormat	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.entry.modifierExtension, Bundle.entry.request.modifierExtension, Bundle.entry.response.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	Bundle(5.0.0)	Contains a collection of resources
meta
security		0..*	Coding	Etiqueta de seguridad Binding: Confidentiality (3.0.0) (required)
identifier	S	1..1	Identifier	Identificador único del documento clínico.
type	S	1..1	code	Tipo de documento clínico. Binding: BundleType (required): ValueSet de tipos de Bundle definidos en FHIR.
timestamp	S	1..1	instant	Fecha y hora de creación del documento clínico.
entry	S	1..*	BackboneElement	Entradas del documento clínico.
signature	S	1..1	Signature	Firma digital del documento clínico.
type	S	1..*	Coding	Tipo de firma digital. Binding: SignatureTypeCodes (required): ValueSet de tipos de firma definidos en FHIR.
when	S	1..1	instant	Fecha y hora de la firma digital.
who	S	1..1	Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))	Entidad que realizó la firma digital.
onBehalfOf	S	0..1	Reference(Organización(0.0.1-ballot))	Firma en representación de otra entidad.
targetFormat	S	0..1	code	Formato de destino del documento clínico. Required Pattern: json
sigFormat	S	0..1	code	Formato de la firma digital. Required Pattern: jades
issues		0..0		Issues with the Bundle
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.meta.security	Base	required	Confidentiality	📍3.0.0	THO v7.0
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.signature.type	Base	required	Signature Type Codes	📍5.0.0	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(5.0.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Etiqueta de seguridad Binding: Confidentiality (3.0.0) (required)
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
identifier	SΣC	1..1	Identifier	Identificador único del documento clínico.
type	SΣC	1..1	code	Tipo de documento clínico. Binding: BundleType (required): ValueSet de tipos de Bundle definidos en FHIR.
timestamp	SΣC	1..1	instant	Fecha y hora de creación del documento clínico.
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relation	ΣC	1..1	code	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url	ΣC	1..1	uri	Reference details for the link
entry	SΣC	1..*	BackboneElement	Entradas del documento clínico. Constraints: bdl-5, bdl-8 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	ΣC	0..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	0..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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include - 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	ΣC	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 validation
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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	SΣ	1..1	Signature	Firma digital del documento clínico.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
type	SΣ	1..*	Coding	Tipo de firma digital. Binding: SignatureTypeCodes (required): ValueSet de tipos de firma definidos en FHIR.
when	SΣ	1..1	instant	Fecha y hora de la firma digital.
who	SΣ	1..1	Reference(Profesional de la Salud(0.0.1-ballot) | Organización(0.0.1-ballot))	Entidad que realizó la firma digital.
onBehalfOf	SΣ	0..1	Reference(Organización(0.0.1-ballot))	Firma en representación de otra entidad.
targetFormat	S	0..1	code	Formato de destino del documento clínico. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: json
sigFormat	S	0..1	code	Formato de la firma digital. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Required Pattern: jades
data		0..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.meta.security	Base	required	Confidentiality	📍3.0.0	THO v7.0
Bundle.meta.tag	Base	example	Common Tags	📍5.0.0	FHIR Std.
Bundle.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	FHIR Std.
Bundle.entry.search.​mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.signature.type	Base	required	Signature Type Codes	📍5.0.0	FHIR Std.
Bundle.signature.targetFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.
Bundle.signature.sigFormat	Base	required	Mime Types	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.meta, Bundle.meta.extension, Bundle.meta.versionId, Bundle.meta.lastUpdated, Bundle.meta.source, Bundle.meta.profile, Bundle.meta.security, Bundle.meta.tag, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.signature, Bundle.signature.extension, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.onBehalfOf, Bundle.signature.targetFormat, Bundle.signature.sigFormat, Bundle.signature.data	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.meta.extension, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.signature.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 7 elements
Must-Support: 11 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Profesional de la Salud (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-practitioner|0.0.1-ballot)
• Organización (https://hl7.or.cr/fhir/core/StructureDefinition/cr-core-organization|0.0.1-ballot)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron