HL7 FHIR Costa Rica - Resultados de Laboratorio, 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/laboratory-results/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: Bundle de Resultados de Laboratorio

Perfil FHIR Bundle para intercambiar resultados de laboratorio con capacidad de firma digital JAdES. Este Bundle contiene observaciones de laboratorio que pueden ser firmadas digitalmente para garantizar autenticidad e integridad.

Usages:

• Examples for this Profile: Bundle/bundle-lab-results-jades-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	ΣC	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	SΣC	1..1	instant	Fecha y hora del Bundle
entry	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information 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	SΣC	1..1	uri	URL única del recurso
resource	SΣC	1..1	Resource	Recursos contenidos en el Bundle
request	SΣC	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	SΣC	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required)
url	SΣ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
signature	SΣ	0..1	Signature	Firma digital del Bundle
type	SΣ	1..1	Coding	Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	SΣ	1..1	instant	Cuándo se firmó
who	SΣ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Quién firmó
data	S	1..1	base64Binary	Datos de la firma
issues	ΣC	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.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	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.implicitRules, Bundle.type, Bundle.timestamp, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry.fullUrl, Bundle.entry.request, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.response, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.signature, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.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	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
entry	S	1..*	BackboneElement	Entry in the bundle - will have a resource or information
fullUrl	S	1..1	uri	URL única del recurso
resource	S	1..1	Resource	Recursos contenidos en el Bundle
request	S	0..1	BackboneElement	Additional execution information (transaction/batch/history)
method	S	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required)
url	S	1..1	uri	URL for HTTP equivalent of this entry
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

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(5.0.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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	ΣC	0..1	Identifier	Persistent identifier for the bundle
type	ΣC	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	SΣC	1..1	instant	Fecha y hora del Bundle
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	ΣC	0..*	BackboneElement	Links related to this Bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relation	ΣC	1..1	code	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url	ΣC	1..1	uri	Reference details for the link
entry	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information 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	SΣC	1..1	uri	URL única del recurso
resource	SΣC	1..1	Resource	Recursos contenidos en el Bundle
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	SΣC	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	SΣC	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required)
url	SΣ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache validation
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
signature	SΣ	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	SΣ	1..1	Coding	Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	SΣ	1..1	instant	Cuándo se firmó
who	SΣ	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	ΣC	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.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	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.meta, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.signature, Bundle.signature.extension, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.onBehalfOf, Bundle.signature.targetFormat, Bundle.signature.sigFormat, Bundle.signature.data	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.signature.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 4 elements(4 nested mandatory elements)
Must-Support: 12 elements
Fixed: 1 element

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	ΣC	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	SΣC	1..1	instant	Fecha y hora del Bundle
entry	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information 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	SΣC	1..1	uri	URL única del recurso
resource	SΣC	1..1	Resource	Recursos contenidos en el Bundle
request	SΣC	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	SΣC	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required)
url	SΣ	1..1	uri	URL for HTTP equivalent of this entry
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
signature	SΣ	0..1	Signature	Firma digital del Bundle
type	SΣ	1..1	Coding	Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	SΣ	1..1	instant	Cuándo se firmó
who	SΣ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Quién firmó
data	S	1..1	base64Binary	Datos de la firma
issues	ΣC	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.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	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.implicitRules, Bundle.type, Bundle.timestamp, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry.fullUrl, Bundle.entry.request, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.response, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.signature, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.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	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
entry	S	1..*	BackboneElement	Entry in the bundle - will have a resource or information
fullUrl	S	1..1	uri	URL única del recurso
resource	S	1..1	Resource	Recursos contenidos en el Bundle
request	S	0..1	BackboneElement	Additional execution information (transaction/batch/history)
method	S	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required)
url	S	1..1	uri	URL for HTTP equivalent of this entry
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

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(5.0.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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	ΣC	0..1	Identifier	Persistent identifier for the bundle
type	ΣC	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	SΣC	1..1	instant	Fecha y hora del Bundle
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	ΣC	0..*	BackboneElement	Links related to this Bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relation	ΣC	1..1	code	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url	ΣC	1..1	uri	Reference details for the link
entry	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information 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	SΣC	1..1	uri	URL única del recurso
resource	SΣC	1..1	Resource	Recursos contenidos en el Bundle
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	SΣC	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	SΣC	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required)
url	SΣ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache validation
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
signature	SΣ	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	SΣ	1..1	Coding	Tipo de firma Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	SΣ	1..1	instant	Cuándo se firmó
who	SΣ	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	ΣC	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.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	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry	fullUrl cannot be a version specific reference	fullUrl.exists() implies fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	Bundle.meta, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.signature, Bundle.signature.extension, Bundle.signature.type, Bundle.signature.when, Bundle.signature.who, Bundle.signature.onBehalfOf, Bundle.signature.targetFormat, Bundle.signature.sigFormat, Bundle.signature.data	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.signature.extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 4 elements(4 nested mandatory elements)
Must-Support: 12 elements
Fixed: 1 element

Maturity: 0

Other representations of profile: CSV, Excel, Schematron