HL7 FHIR Costa Rica - Reportes de Imágenes Médicas
0.0.1-draft - ci-build

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

## Resource Profile: Bundle de Reportes de Imágenes Médicas

Official URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-imaging-report-bundle | Version: 0.0.1
Standards status: Draft | Maturity Level: 0 | Computable Name: CRImagingReportBundle
Copyright/Legal: Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons

Perfil FHIR Bundle para intercambiar reportes de imágenes médicas (Rayos X, RM, Tomografía, Mamografía, Ultrasonido) con acceso a imágenes DICOM. Este Bundle contiene estudios de imagen, reportes diagnósticos y referencias DICOM que pueden ser firmados digitalmente con JAdES para garantizar autenticidad e integridad.

Usages:

- Examples for this Profile: Bundle/bundle-imaging-report-with-dicom-example

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
type | Σ C | 1..1 | code | Tipo de Bundle Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp | S Σ C | 1..1 | instant | Fecha y hora del Bundle
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Ordered, Open by type:resource 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
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Resource | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:composition | S Σ C | 1..1 | BackboneElement | Composition - Índice del documento 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Composition | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:diagnosticReport | S Σ C | 1..1 | BackboneElement | DiagnosticReport - Reporte 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | DiagnosticReport | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:patient | S Σ C | 0..1 | BackboneElement | Patient - Paciente 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Patient | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:imagingStudy | S Σ C | 0..1 | BackboneElement | ImagingStudy - Estudio DICOM 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ImagingStudy | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:serviceRequest | S Σ C | 0..1 | BackboneElement | ServiceRequest - Orden de imagen 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ServiceRequest | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:procedure | S Σ C | 0..1 | BackboneElement | Procedure - Procedimiento realizado 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Procedure | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:observation | S Σ C | 0..* | BackboneElement | Observation - Hallazgos clínicos 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Observation | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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 | S Σ | 0..1 | Signature | Firma digital del Bundle
type | S Σ | 1..1 | Coding | Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | S Σ | 1..1 | instant | Cuándo se firmó
who | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Quién firmó
data | S | 1..1 | base64Binary | Datos de la firma
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
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.entry:composition.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:imagingStudy.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:serviceRequest.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:procedure.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.signature.type | Base | preferred | Signature Type Codes | 📍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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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.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.entry:composition, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.fullUrl, Bundle.entry:composition.request, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.request.method, Bundle.entry:composition.request.url, Bundle.entry:composition.response, Bundle.entry:composition.response.modifierExtension, Bundle.entry:composition.response.status, Bundle.entry:diagnosticReport, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.fullUrl, Bundle.entry:diagnosticReport.request, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.request.method, Bundle.entry:diagnosticReport.request.url, Bundle.entry:diagnosticReport.response, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:diagnosticReport.response.status, Bundle.entry:patient, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.fullUrl, Bundle.entry:patient.request, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.response, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:imagingStudy, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.fullUrl, Bundle.entry:imagingStudy.request, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.request.method, Bundle.entry:imagingStudy.request.url, Bundle.entry:imagingStudy.response, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:imagingStudy.response.status, Bundle.entry:serviceRequest, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.fullUrl, Bundle.entry:serviceRequest.request, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.request.method, Bundle.entry:serviceRequest.request.url, Bundle.entry:serviceRequest.response, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:serviceRequest.response.status, Bundle.entry:procedure, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.fullUrl, Bundle.entry:procedure.request, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.request.method, Bundle.entry:procedure.request.url, Bundle.entry:procedure.response, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:procedure.response.status, Bundle.entry:observation, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.fullUrl, Bundle.entry:observation.request, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.request.method, Bundle.entry:observation.request.url, Bundle.entry:observation.response, Bundle.entry:observation.response.modifierExtension, Bundle.entry:observation.response.status, Bundle.signature, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.data | 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, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.response.modifierExtension, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.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
type |  | 1..1 | code | Tipo de Bundle Fixed Value: document
timestamp | S | 1..1 | instant | Fecha y hora del Bundle
Slices for entry | S | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Ordered, Open by type:resource
entry:All Slices |  |  |  | Content/Rules for all slices
fullUrl | S | 1..1 | uri | URL única del recurso
resource | S | 1..1 | Resource | Recursos contenidos en el Bundle
entry:composition | S | 1..1 | BackboneElement | Composition - Índice del documento
resource |  | 1..1 | Composition | Recursos contenidos en el Bundle
entry:diagnosticReport | S | 1..1 | BackboneElement | DiagnosticReport - Reporte clínico
resource |  | 1..1 | DiagnosticReport | Recursos contenidos en el Bundle
entry:patient | S | 0..1 | BackboneElement | Patient - Paciente
resource |  | 1..1 | Patient | Recursos contenidos en el Bundle
entry:imagingStudy | S | 0..1 | BackboneElement | ImagingStudy - Estudio DICOM
resource |  | 1..1 | ImagingStudy | Recursos contenidos en el Bundle
entry:serviceRequest | S | 0..1 | BackboneElement | ServiceRequest - Orden de imagen
resource |  | 1..1 | ServiceRequest | Recursos contenidos en el Bundle
entry:procedure | S | 0..1 | BackboneElement | Procedure - Procedimiento realizado
resource |  | 1..1 | Procedure | Recursos contenidos en el Bundle
entry:observation | S | 0..* | BackboneElement | Observation - Hallazgos clínicos
resource |  | 1..1 | Observation | Recursos contenidos en el Bundle
signature | S | 0..1 | Signature | Firma digital del Bundle
type | S | 1..1 | Coding | Tipo de firma
when | S | 1..1 | instant | Cuándo se firmó
who | S | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Quién firmó
data | S | 1..1 | base64Binary | Datos de la firma
Documentation for this format

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
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 | Σ C | 0..1 | Identifier | Persistent identifier for the bundle
type | Σ C | 1..1 | code | Tipo de Bundle Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp | S Σ C | 1..1 | instant | Fecha y hora del Bundle
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ C | 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 | Σ C | 1..1 | code | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url | Σ C | 1..1 | uri | Reference details for the link
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Ordered, Open by type:resource 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
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 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Resource | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:composition | S Σ C | 1..1 | BackboneElement | Composition - Índice del documento 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Composition | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:diagnosticReport | S Σ C | 1..1 | BackboneElement | DiagnosticReport - Reporte 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | DiagnosticReport | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:patient | S Σ C | 0..1 | BackboneElement | Patient - Paciente 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Patient | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:imagingStudy | S Σ C | 0..1 | BackboneElement | ImagingStudy - Estudio DICOM 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ImagingStudy | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:serviceRequest | S Σ C | 0..1 | BackboneElement | ServiceRequest - Orden de imagen 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ServiceRequest | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:procedure | S Σ C | 0..1 | BackboneElement | Procedure - Procedimiento realizado 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Procedure | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:observation | S Σ C | 0..* | BackboneElement | Observation - Hallazgos clínicos 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Observation | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | S Σ | 0..1 | Signature | Firma digital del Bundle
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 | S Σ | 1..1 | Coding | Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | S Σ | 1..1 | instant | Cuándo se firmó
who | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Quién firmó
onBehalfOf | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | The party represented
targetFormat |  | 0..1 | code | The technical format of the signed resources Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
sigFormat |  | 0..1 | code | The technical format of the signature Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
data | S | 1..1 | base64Binary | Datos de la firma
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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.entry:composition.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:diagnosticReport.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:imagingStudy.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:imagingStudy.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:serviceRequest.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:serviceRequest.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:procedure.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:procedure.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:observation.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.signature.type | Base | preferred | 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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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.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.entry:composition, Bundle.entry:composition.extension, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.link, Bundle.entry:composition.fullUrl, Bundle.entry:composition.search, Bundle.entry:composition.search.extension, Bundle.entry:composition.search.modifierExtension, Bundle.entry:composition.search.mode, Bundle.entry:composition.search.score, Bundle.entry:composition.request, Bundle.entry:composition.request.extension, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.request.method, Bundle.entry:composition.request.url, Bundle.entry:composition.request.ifNoneMatch, Bundle.entry:composition.request.ifModifiedSince, Bundle.entry:composition.request.ifMatch, Bundle.entry:composition.request.ifNoneExist, Bundle.entry:composition.response, Bundle.entry:composition.response.extension, Bundle.entry:composition.response.modifierExtension, Bundle.entry:composition.response.status, Bundle.entry:composition.response.location, Bundle.entry:composition.response.etag, Bundle.entry:composition.response.lastModified, Bundle.entry:diagnosticReport, Bundle.entry:diagnosticReport.extension, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.link, Bundle.entry:diagnosticReport.fullUrl, Bundle.entry:diagnosticReport.search, Bundle.entry:diagnosticReport.search.extension, Bundle.entry:diagnosticReport.search.modifierExtension, Bundle.entry:diagnosticReport.search.mode, Bundle.entry:diagnosticReport.search.score, Bundle.entry:diagnosticReport.request, Bundle.entry:diagnosticReport.request.extension, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.request.method, Bundle.entry:diagnosticReport.request.url, Bundle.entry:diagnosticReport.request.ifNoneMatch, Bundle.entry:diagnosticReport.request.ifModifiedSince, Bundle.entry:diagnosticReport.request.ifMatch, Bundle.entry:diagnosticReport.request.ifNoneExist, Bundle.entry:diagnosticReport.response, Bundle.entry:diagnosticReport.response.extension, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:diagnosticReport.response.status, Bundle.entry:diagnosticReport.response.location, Bundle.entry:diagnosticReport.response.etag, Bundle.entry:diagnosticReport.response.lastModified, Bundle.entry:patient, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.link, Bundle.entry:patient.fullUrl, Bundle.entry:patient.search, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.search.mode, Bundle.entry:patient.search.score, Bundle.entry:patient.request, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.request.ifNoneMatch, Bundle.entry:patient.request.ifModifiedSince, Bundle.entry:patient.request.ifMatch, Bundle.entry:patient.request.ifNoneExist, Bundle.entry:patient.response, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:patient.response.location, Bundle.entry:patient.response.etag, Bundle.entry:patient.response.lastModified, Bundle.entry:imagingStudy, Bundle.entry:imagingStudy.extension, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.link, Bundle.entry:imagingStudy.fullUrl, Bundle.entry:imagingStudy.search, Bundle.entry:imagingStudy.search.extension, Bundle.entry:imagingStudy.search.modifierExtension, Bundle.entry:imagingStudy.search.mode, Bundle.entry:imagingStudy.search.score, Bundle.entry:imagingStudy.request, Bundle.entry:imagingStudy.request.extension, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.request.method, Bundle.entry:imagingStudy.request.url, Bundle.entry:imagingStudy.request.ifNoneMatch, Bundle.entry:imagingStudy.request.ifModifiedSince, Bundle.entry:imagingStudy.request.ifMatch, Bundle.entry:imagingStudy.request.ifNoneExist, Bundle.entry:imagingStudy.response, Bundle.entry:imagingStudy.response.extension, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:imagingStudy.response.status, Bundle.entry:imagingStudy.response.location, Bundle.entry:imagingStudy.response.etag, Bundle.entry:imagingStudy.response.lastModified, Bundle.entry:serviceRequest, Bundle.entry:serviceRequest.extension, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.link, Bundle.entry:serviceRequest.fullUrl, Bundle.entry:serviceRequest.search, Bundle.entry:serviceRequest.search.extension, Bundle.entry:serviceRequest.search.modifierExtension, Bundle.entry:serviceRequest.search.mode, Bundle.entry:serviceRequest.search.score, Bundle.entry:serviceRequest.request, Bundle.entry:serviceRequest.request.extension, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.request.method, Bundle.entry:serviceRequest.request.url, Bundle.entry:serviceRequest.request.ifNoneMatch, Bundle.entry:serviceRequest.request.ifModifiedSince, Bundle.entry:serviceRequest.request.ifMatch, Bundle.entry:serviceRequest.request.ifNoneExist, Bundle.entry:serviceRequest.response, Bundle.entry:serviceRequest.response.extension, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:serviceRequest.response.status, Bundle.entry:serviceRequest.response.location, Bundle.entry:serviceRequest.response.etag, Bundle.entry:serviceRequest.response.lastModified, Bundle.entry:procedure, Bundle.entry:procedure.extension, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.link, Bundle.entry:procedure.fullUrl, Bundle.entry:procedure.search, Bundle.entry:procedure.search.extension, Bundle.entry:procedure.search.modifierExtension, Bundle.entry:procedure.search.mode, Bundle.entry:procedure.search.score, Bundle.entry:procedure.request, Bundle.entry:procedure.request.extension, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.request.method, Bundle.entry:procedure.request.url, Bundle.entry:procedure.request.ifNoneMatch, Bundle.entry:procedure.request.ifModifiedSince, Bundle.entry:procedure.request.ifMatch, Bundle.entry:procedure.request.ifNoneExist, Bundle.entry:procedure.response, Bundle.entry:procedure.response.extension, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:procedure.response.status, Bundle.entry:procedure.response.location, Bundle.entry:procedure.response.etag, Bundle.entry:procedure.response.lastModified, Bundle.entry:observation, Bundle.entry:observation.extension, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.link, Bundle.entry:observation.fullUrl, Bundle.entry:observation.search, Bundle.entry:observation.search.extension, Bundle.entry:observation.search.modifierExtension, Bundle.entry:observation.search.mode, Bundle.entry:observation.search.score, Bundle.entry:observation.request, Bundle.entry:observation.request.extension, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.request.method, Bundle.entry:observation.request.url, Bundle.entry:observation.request.ifNoneMatch, Bundle.entry:observation.request.ifModifiedSince, Bundle.entry:observation.request.ifMatch, Bundle.entry:observation.request.ifNoneExist, Bundle.entry:observation.response, Bundle.entry:observation.response.extension, Bundle.entry:observation.response.modifierExtension, Bundle.entry:observation.response.status, Bundle.entry:observation.response.location, Bundle.entry:observation.response.etag, Bundle.entry:observation.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.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.entry:composition.extension, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.search.extension, Bundle.entry:composition.search.modifierExtension, Bundle.entry:composition.request.extension, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.response.extension, Bundle.entry:composition.response.modifierExtension, Bundle.entry:diagnosticReport.extension, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.search.extension, Bundle.entry:diagnosticReport.search.modifierExtension, Bundle.entry:diagnosticReport.request.extension, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.response.extension, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:imagingStudy.extension, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.search.extension, Bundle.entry:imagingStudy.search.modifierExtension, Bundle.entry:imagingStudy.request.extension, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.response.extension, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:serviceRequest.extension, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.search.extension, Bundle.entry:serviceRequest.search.modifierExtension, Bundle.entry:serviceRequest.request.extension, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.response.extension, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:procedure.extension, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.search.extension, Bundle.entry:procedure.search.modifierExtension, Bundle.entry:procedure.request.extension, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.response.extension, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:observation.extension, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.search.extension, Bundle.entry:observation.search.modifierExtension, Bundle.entry:observation.request.extension, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.response.extension, Bundle.entry:observation.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: 4 elements(5 nested mandatory elements)
Must-Support: 16 elements
Fixed: 1 element

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Bundle.entry (ordered)

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
type | Σ C | 1..1 | code | Tipo de Bundle Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp | S Σ C | 1..1 | instant | Fecha y hora del Bundle
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Ordered, Open by type:resource 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
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Resource | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:composition | S Σ C | 1..1 | BackboneElement | Composition - Índice del documento 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Composition | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:diagnosticReport | S Σ C | 1..1 | BackboneElement | DiagnosticReport - Reporte 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | DiagnosticReport | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:patient | S Σ C | 0..1 | BackboneElement | Patient - Paciente 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Patient | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:imagingStudy | S Σ C | 0..1 | BackboneElement | ImagingStudy - Estudio DICOM 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ImagingStudy | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:serviceRequest | S Σ C | 0..1 | BackboneElement | ServiceRequest - Orden de imagen 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ServiceRequest | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:procedure | S Σ C | 0..1 | BackboneElement | Procedure - Procedimiento realizado 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Procedure | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:observation | S Σ C | 0..* | BackboneElement | Observation - Hallazgos clínicos 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Observation | Recursos contenidos en el Bundle
request | Σ C | 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 | Σ C | 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 | Σ C | 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 | S Σ | 0..1 | Signature | Firma digital del Bundle
type | S Σ | 1..1 | Coding | Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | S Σ | 1..1 | instant | Cuándo se firmó
who | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Quién firmó
data | S | 1..1 | base64Binary | Datos de la firma
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
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.entry:composition.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:imagingStudy.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:serviceRequest.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:procedure.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.signature.type | Base | preferred | Signature Type Codes | 📍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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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.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.entry:composition, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.fullUrl, Bundle.entry:composition.request, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.request.method, Bundle.entry:composition.request.url, Bundle.entry:composition.response, Bundle.entry:composition.response.modifierExtension, Bundle.entry:composition.response.status, Bundle.entry:diagnosticReport, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.fullUrl, Bundle.entry:diagnosticReport.request, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.request.method, Bundle.entry:diagnosticReport.request.url, Bundle.entry:diagnosticReport.response, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:diagnosticReport.response.status, Bundle.entry:patient, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.fullUrl, Bundle.entry:patient.request, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.response, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:imagingStudy, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.fullUrl, Bundle.entry:imagingStudy.request, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.request.method, Bundle.entry:imagingStudy.request.url, Bundle.entry:imagingStudy.response, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:imagingStudy.response.status, Bundle.entry:serviceRequest, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.fullUrl, Bundle.entry:serviceRequest.request, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.request.method, Bundle.entry:serviceRequest.request.url, Bundle.entry:serviceRequest.response, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:serviceRequest.response.status, Bundle.entry:procedure, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.fullUrl, Bundle.entry:procedure.request, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.request.method, Bundle.entry:procedure.request.url, Bundle.entry:procedure.response, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:procedure.response.status, Bundle.entry:observation, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.fullUrl, Bundle.entry:observation.request, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.request.method, Bundle.entry:observation.request.url, Bundle.entry:observation.response, Bundle.entry:observation.response.modifierExtension, Bundle.entry:observation.response.status, Bundle.signature, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.data | 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, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.response.modifierExtension, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.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
type |  | 1..1 | code | Tipo de Bundle Fixed Value: document
timestamp | S | 1..1 | instant | Fecha y hora del Bundle
Slices for entry | S | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Ordered, Open by type:resource
entry:All Slices |  |  |  | Content/Rules for all slices
fullUrl | S | 1..1 | uri | URL única del recurso
resource | S | 1..1 | Resource | Recursos contenidos en el Bundle
entry:composition | S | 1..1 | BackboneElement | Composition - Índice del documento
resource |  | 1..1 | Composition | Recursos contenidos en el Bundle
entry:diagnosticReport | S | 1..1 | BackboneElement | DiagnosticReport - Reporte clínico
resource |  | 1..1 | DiagnosticReport | Recursos contenidos en el Bundle
entry:patient | S | 0..1 | BackboneElement | Patient - Paciente
resource |  | 1..1 | Patient | Recursos contenidos en el Bundle
entry:imagingStudy | S | 0..1 | BackboneElement | ImagingStudy - Estudio DICOM
resource |  | 1..1 | ImagingStudy | Recursos contenidos en el Bundle
entry:serviceRequest | S | 0..1 | BackboneElement | ServiceRequest - Orden de imagen
resource |  | 1..1 | ServiceRequest | Recursos contenidos en el Bundle
entry:procedure | S | 0..1 | BackboneElement | Procedure - Procedimiento realizado
resource |  | 1..1 | Procedure | Recursos contenidos en el Bundle
entry:observation | S | 0..* | BackboneElement | Observation - Hallazgos clínicos
resource |  | 1..1 | Observation | Recursos contenidos en el Bundle
signature | S | 0..1 | Signature | Firma digital del Bundle
type | S | 1..1 | Coding | Tipo de firma
when | S | 1..1 | instant | Cuándo se firmó
who | S | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Quién firmó
data | S | 1..1 | base64Binary | Datos de la firma
Documentation for this format

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
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 | Σ C | 0..1 | Identifier | Persistent identifier for the bundle
type | Σ C | 1..1 | code | Tipo de Bundle Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp | S Σ C | 1..1 | instant | Fecha y hora del Bundle
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ C | 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 | Σ C | 1..1 | code | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url | Σ C | 1..1 | uri | Reference details for the link
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Ordered, Open by type:resource 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
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 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Resource | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:composition | S Σ C | 1..1 | BackboneElement | Composition - Índice del documento 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Composition | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:diagnosticReport | S Σ C | 1..1 | BackboneElement | DiagnosticReport - Reporte 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | DiagnosticReport | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:patient | S Σ C | 0..1 | BackboneElement | Patient - Paciente 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Patient | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:imagingStudy | S Σ C | 0..1 | BackboneElement | ImagingStudy - Estudio DICOM 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ImagingStudy | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:serviceRequest | S Σ C | 0..1 | BackboneElement | ServiceRequest - Orden de imagen 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | ServiceRequest | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:procedure | S Σ C | 0..1 | BackboneElement | Procedure - Procedimiento realizado 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Procedure | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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)
entry:observation | S Σ C | 0..* | BackboneElement | Observation - Hallazgos clínicos 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 | S Σ C | 1..1 | uri | URL única del recurso
resource | S Σ C | 1..1 | Observation | Recursos contenidos en el Bundle
search | Σ C | 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 | Σ C | 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 | Σ C | 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 | Σ C | 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 | S Σ | 0..1 | Signature | Firma digital del Bundle
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 | S Σ | 1..1 | Coding | Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | S Σ | 1..1 | instant | Cuándo se firmó
who | S Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Quién firmó
onBehalfOf | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | The party represented
targetFormat |  | 0..1 | code | The technical format of the signed resources Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
sigFormat |  | 0..1 | code | The technical format of the signature Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
data | S | 1..1 | base64Binary | Datos de la firma
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
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.entry:composition.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:diagnosticReport.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:imagingStudy.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:imagingStudy.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:serviceRequest.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:serviceRequest.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:procedure.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:procedure.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:observation.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.signature.type | Base | preferred | 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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:imagingStudy, Bundle.entry:serviceRequest, Bundle.entry:procedure, Bundle.entry:observation | 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.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.entry:composition, Bundle.entry:composition.extension, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.link, Bundle.entry:composition.fullUrl, Bundle.entry:composition.search, Bundle.entry:composition.search.extension, Bundle.entry:composition.search.modifierExtension, Bundle.entry:composition.search.mode, Bundle.entry:composition.search.score, Bundle.entry:composition.request, Bundle.entry:composition.request.extension, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.request.method, Bundle.entry:composition.request.url, Bundle.entry:composition.request.ifNoneMatch, Bundle.entry:composition.request.ifModifiedSince, Bundle.entry:composition.request.ifMatch, Bundle.entry:composition.request.ifNoneExist, Bundle.entry:composition.response, Bundle.entry:composition.response.extension, Bundle.entry:composition.response.modifierExtension, Bundle.entry:composition.response.status, Bundle.entry:composition.response.location, Bundle.entry:composition.response.etag, Bundle.entry:composition.response.lastModified, Bundle.entry:diagnosticReport, Bundle.entry:diagnosticReport.extension, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.link, Bundle.entry:diagnosticReport.fullUrl, Bundle.entry:diagnosticReport.search, Bundle.entry:diagnosticReport.search.extension, Bundle.entry:diagnosticReport.search.modifierExtension, Bundle.entry:diagnosticReport.search.mode, Bundle.entry:diagnosticReport.search.score, Bundle.entry:diagnosticReport.request, Bundle.entry:diagnosticReport.request.extension, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.request.method, Bundle.entry:diagnosticReport.request.url, Bundle.entry:diagnosticReport.request.ifNoneMatch, Bundle.entry:diagnosticReport.request.ifModifiedSince, Bundle.entry:diagnosticReport.request.ifMatch, Bundle.entry:diagnosticReport.request.ifNoneExist, Bundle.entry:diagnosticReport.response, Bundle.entry:diagnosticReport.response.extension, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:diagnosticReport.response.status, Bundle.entry:diagnosticReport.response.location, Bundle.entry:diagnosticReport.response.etag, Bundle.entry:diagnosticReport.response.lastModified, Bundle.entry:patient, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.link, Bundle.entry:patient.fullUrl, Bundle.entry:patient.search, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.search.mode, Bundle.entry:patient.search.score, Bundle.entry:patient.request, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.request.ifNoneMatch, Bundle.entry:patient.request.ifModifiedSince, Bundle.entry:patient.request.ifMatch, Bundle.entry:patient.request.ifNoneExist, Bundle.entry:patient.response, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:patient.response.location, Bundle.entry:patient.response.etag, Bundle.entry:patient.response.lastModified, Bundle.entry:imagingStudy, Bundle.entry:imagingStudy.extension, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.link, Bundle.entry:imagingStudy.fullUrl, Bundle.entry:imagingStudy.search, Bundle.entry:imagingStudy.search.extension, Bundle.entry:imagingStudy.search.modifierExtension, Bundle.entry:imagingStudy.search.mode, Bundle.entry:imagingStudy.search.score, Bundle.entry:imagingStudy.request, Bundle.entry:imagingStudy.request.extension, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.request.method, Bundle.entry:imagingStudy.request.url, Bundle.entry:imagingStudy.request.ifNoneMatch, Bundle.entry:imagingStudy.request.ifModifiedSince, Bundle.entry:imagingStudy.request.ifMatch, Bundle.entry:imagingStudy.request.ifNoneExist, Bundle.entry:imagingStudy.response, Bundle.entry:imagingStudy.response.extension, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:imagingStudy.response.status, Bundle.entry:imagingStudy.response.location, Bundle.entry:imagingStudy.response.etag, Bundle.entry:imagingStudy.response.lastModified, Bundle.entry:serviceRequest, Bundle.entry:serviceRequest.extension, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.link, Bundle.entry:serviceRequest.fullUrl, Bundle.entry:serviceRequest.search, Bundle.entry:serviceRequest.search.extension, Bundle.entry:serviceRequest.search.modifierExtension, Bundle.entry:serviceRequest.search.mode, Bundle.entry:serviceRequest.search.score, Bundle.entry:serviceRequest.request, Bundle.entry:serviceRequest.request.extension, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.request.method, Bundle.entry:serviceRequest.request.url, Bundle.entry:serviceRequest.request.ifNoneMatch, Bundle.entry:serviceRequest.request.ifModifiedSince, Bundle.entry:serviceRequest.request.ifMatch, Bundle.entry:serviceRequest.request.ifNoneExist, Bundle.entry:serviceRequest.response, Bundle.entry:serviceRequest.response.extension, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:serviceRequest.response.status, Bundle.entry:serviceRequest.response.location, Bundle.entry:serviceRequest.response.etag, Bundle.entry:serviceRequest.response.lastModified, Bundle.entry:procedure, Bundle.entry:procedure.extension, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.link, Bundle.entry:procedure.fullUrl, Bundle.entry:procedure.search, Bundle.entry:procedure.search.extension, Bundle.entry:procedure.search.modifierExtension, Bundle.entry:procedure.search.mode, Bundle.entry:procedure.search.score, Bundle.entry:procedure.request, Bundle.entry:procedure.request.extension, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.request.method, Bundle.entry:procedure.request.url, Bundle.entry:procedure.request.ifNoneMatch, Bundle.entry:procedure.request.ifModifiedSince, Bundle.entry:procedure.request.ifMatch, Bundle.entry:procedure.request.ifNoneExist, Bundle.entry:procedure.response, Bundle.entry:procedure.response.extension, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:procedure.response.status, Bundle.entry:procedure.response.location, Bundle.entry:procedure.response.etag, Bundle.entry:procedure.response.lastModified, Bundle.entry:observation, Bundle.entry:observation.extension, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.link, Bundle.entry:observation.fullUrl, Bundle.entry:observation.search, Bundle.entry:observation.search.extension, Bundle.entry:observation.search.modifierExtension, Bundle.entry:observation.search.mode, Bundle.entry:observation.search.score, Bundle.entry:observation.request, Bundle.entry:observation.request.extension, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.request.method, Bundle.entry:observation.request.url, Bundle.entry:observation.request.ifNoneMatch, Bundle.entry:observation.request.ifModifiedSince, Bundle.entry:observation.request.ifMatch, Bundle.entry:observation.request.ifNoneExist, Bundle.entry:observation.response, Bundle.entry:observation.response.extension, Bundle.entry:observation.response.modifierExtension, Bundle.entry:observation.response.status, Bundle.entry:observation.response.location, Bundle.entry:observation.response.etag, Bundle.entry:observation.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.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.entry:composition.extension, Bundle.entry:composition.modifierExtension, Bundle.entry:composition.search.extension, Bundle.entry:composition.search.modifierExtension, Bundle.entry:composition.request.extension, Bundle.entry:composition.request.modifierExtension, Bundle.entry:composition.response.extension, Bundle.entry:composition.response.modifierExtension, Bundle.entry:diagnosticReport.extension, Bundle.entry:diagnosticReport.modifierExtension, Bundle.entry:diagnosticReport.search.extension, Bundle.entry:diagnosticReport.search.modifierExtension, Bundle.entry:diagnosticReport.request.extension, Bundle.entry:diagnosticReport.request.modifierExtension, Bundle.entry:diagnosticReport.response.extension, Bundle.entry:diagnosticReport.response.modifierExtension, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:imagingStudy.extension, Bundle.entry:imagingStudy.modifierExtension, Bundle.entry:imagingStudy.search.extension, Bundle.entry:imagingStudy.search.modifierExtension, Bundle.entry:imagingStudy.request.extension, Bundle.entry:imagingStudy.request.modifierExtension, Bundle.entry:imagingStudy.response.extension, Bundle.entry:imagingStudy.response.modifierExtension, Bundle.entry:serviceRequest.extension, Bundle.entry:serviceRequest.modifierExtension, Bundle.entry:serviceRequest.search.extension, Bundle.entry:serviceRequest.search.modifierExtension, Bundle.entry:serviceRequest.request.extension, Bundle.entry:serviceRequest.request.modifierExtension, Bundle.entry:serviceRequest.response.extension, Bundle.entry:serviceRequest.response.modifierExtension, Bundle.entry:procedure.extension, Bundle.entry:procedure.modifierExtension, Bundle.entry:procedure.search.extension, Bundle.entry:procedure.search.modifierExtension, Bundle.entry:procedure.request.extension, Bundle.entry:procedure.request.modifierExtension, Bundle.entry:procedure.response.extension, Bundle.entry:procedure.response.modifierExtension, Bundle.entry:observation.extension, Bundle.entry:observation.modifierExtension, Bundle.entry:observation.search.extension, Bundle.entry:observation.search.modifierExtension, Bundle.entry:observation.request.extension, Bundle.entry:observation.request.modifierExtension, Bundle.entry:observation.response.extension, Bundle.entry:observation.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: 4 elements(5 nested mandatory elements)
Must-Support: 16 elements
Fixed: 1 element

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Bundle.entry (ordered)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron