HL7 Czech Shared Health Record Implementation Guide
0.0.1 - ci-build

HL7 Czech Shared Health Record Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/szz/ and changes regularly. See the Directory of published versions

## Resource Profile: CZ_BundleSzz - Detailed Descriptions

Draft as of 2025-12-22

Definitions for the cz-bundle-sharedhealthrecord resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Bundle
Definition | Shared Health Record bundle. A container for a collection of resources.
Short | Shared Health Record bundleContains a collection of resources
Control | 0..*
Is Modifier | false
Summary | false
Invariants | bdl-1: total only when a search or history (`total.empty() or (type = 'searchset') or (type = 'history')`) bdl-2: entry.search only when a search (`entry.search.empty() or (type = 'searchset')`) bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (`entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`) bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (`entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`) bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (`(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`) bdl-9: A document must have an identifier with a system and a value (`type = 'document' implies (identifier.system.exists() and identifier.value.exists())`) bdl-10: A document must have a date (`type = 'document' implies (timestamp.hasValue())`) bdl-11: A document must have a Composition as the first resource (`type = 'document' implies entry.first().resource.is(Composition)`) bdl-12: A message must have a MessageHeader as the first resource (`type = 'message' implies entry.first().resource.is(MessageHeader)`) bdl-elp-1: An document must have no additional Composition (including Composition subclass) resources besides the first. (`entry.tail().where(resource is Composition).empty()`) bdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history')) bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset')) bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))) bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))) bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()) bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists())) bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue())) bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition)) bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
2. Bundle.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Bundle.identifier
Definition | A persistent identifier for the bundle that won't change as a bundle is copied from server to server.
Short | Instance identifierPersistent identifier for the bundle
Comments | Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..1
Type | Identifier
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Bundle.type
Definition | Indicates the purpose of this bundle - how it is intended to be used.
Short | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Comments | It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.
Control | 1..1
Binding | The codes SHALL be taken from BundleType http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` ) Indicates the purpose of a bundle - how it is intended to be used.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Fixed Value | `document`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Bundle.timestamp
Definition | The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.
Short | Instance identifierWhen the bundle was assembled
Comments | For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated. Usage: document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.
Control | 10..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Bundle.link
Definition | A series of links that provide context to this bundle.
Short | Links related to this Bundle
Comments | Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS). Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly. This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.
Control | 0..0*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
15. Bundle.entry
Definition | An entry resource included in the Shared Health Record document bundle resource. An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry resource in the Shared Health Record bundleEntry in the bundle - will have a resource or information
Comments | Must contain the SZZ Composition as the first entry (only a single Composition resource instance may be included). Additional constraints are specified in the SZZ Composition profile.
Control | 30..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
Slicing | This element introduces a set of slices on `Bundle.entry`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ resource profile @ resource
17. Bundle.entry.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
19. Bundle.entry.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
21. Bundle.entry.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
23. Bundle.entry.resource
Definition | The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | A resource in the bundle
Control | 10..1
Type | Resource
Is Modifier | false
Summary | true
25. Bundle.entry.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Bundle.entry.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
33. Bundle.entry.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
37. Bundle.entry:composition
Slice Name | composition
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 10..1*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
39. Bundle.entry:composition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
41. Bundle.entry:composition.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
43. Bundle.entry:composition.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
45. Bundle.entry:composition.resource
Definition | Shared Health Record composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Shared Health Record compositionA resource in the bundle
Comments | While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.
Control | 10..1
Type | Composition Resource(Composition (SZZ CZ))
Is Modifier | false
Summary | false
47. Bundle.entry:composition.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Bundle.entry:composition.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
55. Bundle.entry:composition.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
59. Bundle.entry:patient
Slice Name | patient
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 10..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
61. Bundle.entry:patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
63. Bundle.entry:patient.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
65. Bundle.entry:patient.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
67. Bundle.entry:patient.resource
Definition | This profile sets minimum expectations for represention of Patient in FHIR for the purpose of the Czech national interoperability standards. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech Patient (base)A resource in the bundle
Control | 10..1
Type | Patient Resource(Patient (CZ core))
Is Modifier | false
Summary | false
Alternate Names | SubjectOfCare Client Resident
69. Bundle.entry:patient.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Bundle.entry:patient.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
77. Bundle.entry:patient.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
81. Bundle.entry:practitioner
Slice Name | practitioner
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 10..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
83. Bundle.entry:practitioner.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
85. Bundle.entry:practitioner.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
87. Bundle.entry:practitioner.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
89. Bundle.entry:practitioner.resource
Definition | Czech national profile sets minimum expectations for represention of practitioner in HL7 FHIR. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech Practitioner (core)A resource in the bundle
Control | 10..1
Type | Practitioner Resource(Practitioner (CZ core))
Is Modifier | false
Summary | false
91. Bundle.entry:practitioner.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. Bundle.entry:practitioner.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
99. Bundle.entry:practitioner.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
103. Bundle.entry:practitionerRole
Slice Name | practitionerRole
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
105. Bundle.entry:practitionerRole.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
107. Bundle.entry:practitionerRole.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
109. Bundle.entry:practitionerRole.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
111. Bundle.entry:practitionerRole.resource
Definition | This profile sets minimum expectations for a healthcare role in the Czech healthcare system based on the FHIR PractitionerRole. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech Practitioner Role (core)A resource in the bundle
Comments | Key elements include a reference to the healthcare worker (practitioner), institution (organization), role code according to the National Code of Healthcare Professions (NCZP), specialization according to the KRPZS, place of performance (location), contact details (telecom), role status (active) and validity period (period). A specific extension for the Czech Republic is the connection with the Master Register of Healthcare Workers (KRZP) and the KRPZS, which enables verification of expertise and valid registration.
Control | 10..1
Type | PractitionerRole Resource(Practitioner Role (CZ core))
Is Modifier | false
Summary | false
113. Bundle.entry:practitionerRole.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. Bundle.entry:practitionerRole.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
121. Bundle.entry:practitionerRole.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
125. Bundle.entry:organization
Slice Name | organization
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
127. Bundle.entry:organization.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
129. Bundle.entry:organization.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
131. Bundle.entry:organization.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
133. Bundle.entry:organization.resource
Definition | Czech national profile sets minimum expectations for represention of organization in HL7 FHIR. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech Organization (core)A resource in the bundle
Control | 10..1
Type | Organization Resource(Organization (CZ core))
Is Modifier | false
Summary | false
135. Bundle.entry:organization.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
138. Bundle.entry:organization.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
143. Bundle.entry:organization.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
147. Bundle.entry:observation
Slice Name | observation
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
149. Bundle.entry:observation.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
151. Bundle.entry:observation.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
153. Bundle.entry:observation.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
155. Bundle.entry:observation.resource
Definition | Measurements and simple assertions made about a patient, device or other subject. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Measurements and simple assertionsA resource in the bundle
Comments | Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
Control | 10..1
Type | Observation Resource(Observation, Observation: Blood Type (SZZ CZ), Observation: Weight (SZZ CZ))
Is Modifier | false
Summary | false
Alternate Names | Vital Signs, Measurement, Results, Tests
157. Bundle.entry:observation.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. Bundle.entry:observation.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
165. Bundle.entry:observation.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
169. Bundle.entry:adverseEvent
Slice Name | adverseEvent
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
171. Bundle.entry:adverseEvent.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
173. Bundle.entry:adverseEvent.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
175. Bundle.entry:adverseEvent.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
177. Bundle.entry:adverseEvent.resource
Definition | Actual or potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Medical care, research study or other healthcare event causing physical injuryA resource in the bundle
Control | 10..1
Type | AdverseEvent Resource(Adverse event (SZZ CZ))
Is Modifier | false
Summary | false
Alternate Names | AE
179. Bundle.entry:adverseEvent.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
182. Bundle.entry:adverseEvent.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
187. Bundle.entry:adverseEvent.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
191. Bundle.entry:allergiesAndIntolerances
Slice Name | allergiesAndIntolerances
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
193. Bundle.entry:allergiesAndIntolerances.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
195. Bundle.entry:allergiesAndIntolerances.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
197. Bundle.entry:allergiesAndIntolerances.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
199. Bundle.entry:allergiesAndIntolerances.resource
Definition | The profile presents the requirements for AllergyIntolerance within the Czech national interoperability project. It represents a record of a clinical assessment of an allergy or intolerance; a propensity, or a potential risk to an individual, to have an adverse reaction on future exposure to the specified substance, or class of substance. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech Allergy IntoleranceA resource in the bundle
Comments | Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
Control | 10..1
Type | AllergyIntolerance Resource(Allergy intolerance (SZZ CZ))
Is Modifier | false
Summary | false
Alternate Names | Allergy, Intolerance, Adverse Reaction
201. Bundle.entry:allergiesAndIntolerances.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
204. Bundle.entry:allergiesAndIntolerances.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
209. Bundle.entry:allergiesAndIntolerances.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
213. Bundle.entry:medicationStatements
Slice Name | medicationStatements
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
215. Bundle.entry:medicationStatements.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
217. Bundle.entry:medicationStatements.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
219. Bundle.entry:medicationStatements.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
221. Bundle.entry:medicationStatements.resource
Definition | This profile is derived from the Medication Statement in FHIR, which is a record of the medication the patient is taking. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech Medication StatementA resource in the bundle
Comments | When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
Control | 10..1
Type | MedicationStatement Resource(Medication Statement (CZ))
Is Modifier | false
Summary | false
223. Bundle.entry:medicationStatements.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
226. Bundle.entry:medicationStatements.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
231. Bundle.entry:medicationStatements.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
235. Bundle.entry:medications
Slice Name | medications
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
237. Bundle.entry:medications.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
239. Bundle.entry:medications.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
241. Bundle.entry:medications.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
243. Bundle.entry:medications.resource
Definition | This profile is derived from the Medication in FHIR, which is a record of the medication. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Czech MedicationA resource in the bundle
Control | 10..1
Type | Medication Resource(Medication (CZ))
Is Modifier | false
Summary | false
245. Bundle.entry:medications.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
248. Bundle.entry:medications.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
253. Bundle.entry:medications.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
257. Bundle.entry:documentReference
Slice Name | documentReference
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
259. Bundle.entry:documentReference.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
261. Bundle.entry:documentReference.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
263. Bundle.entry:documentReference.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
265. Bundle.entry:documentReference.resource
Definition | Base64 encoded logo The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | LogoA resource in the bundle
Comments | Usually, this is used for documents other than those defined by FHIR.
Control | 10..1
Type | DocumentReference Resource(DocumentReference containing logo (CZ))
Is Modifier | false
Summary | false
267. Bundle.entry:documentReference.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
270. Bundle.entry:documentReference.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
275. Bundle.entry:documentReference.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
279. Bundle.entry:immunization
Slice Name | immunization
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists()) bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
281. Bundle.entry:immunization.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
283. Bundle.entry:immunization.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
285. Bundle.entry:immunization.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL). fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
287. Bundle.entry:immunization.resource
Definition | Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party. The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | Immunization event informationA resource in the bundle
Control | 10..1
Type | Immunization Resource(Immunization against HPV Resource Profile (SZZ CZ))
Is Modifier | false
Summary | false
289. Bundle.entry:immunization.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..01 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
292. Bundle.entry:immunization.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
297. Bundle.entry:immunization.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..01 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
301. Bundle.signature
Definition | Digital Signature - base64 encoded. XML-DSig or a JWT.
Short | Report Digital SignatureDigital Signature
Comments | The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.
Control | 0..1
Type | Signature
Is Modifier | false
Summary | true
Requirements | A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
303. Bundle.signature.type
Definition | An indication of the reason that the entity signed this document. This may be explicitly included as part of the signature information and can be used when determining accountability for various actions concerning the document.
Short | Digital Signature PurposesIndication of the reason the entity signed the object(s)
Comments | Examples include attesting to: authorship, correct transcription, and witness of specific event. Also known as a "Commitment Type Indication".
Control | 1..*
Binding | The codes SHOULD be taken from SignatureTypeCodes http://hl7.org/fhir/ValueSet/signature-type|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/signature-type|4.0.1` ) An indication of the reason that an entity signed the object.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
305. Bundle.signature.when
Definition | When the digital signature was signed.
Short | When was signedWhen the signature was created
Comments | This should agree with the information in the signature.
Control | 1..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
307. Bundle.signature.who
Definition | A reference to an application-usable description of the identity that signed (e.g. the signature used their private key).
Short | Who signed.
Comments | This should agree with the information in the signature.
Control | 1..1
Type | Reference(Practitioner, PractitionerRole, RelatedPerson, Patient, Device, Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
309. Bundle.signature.data
Definition | The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.
Short | Signature contentThe actual signature content (XML DigSig. JWS, picture, etc.)
Comments | Where the signature type is an XML DigSig, the signed content is a FHIR Resource(s), the signature is of the XML form of the Resource(s) using XML-Signature (XMLDIG) "Detached Signature" form.
Control | 0..1
Type | base64Binary
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Bundle
Definition | Shared Health Record bundle.
Short | Shared Health Record bundle
Invariants | bdl-elp-1: An document must have no additional Composition (including Composition subclass) resources besides the first. (`entry.tail().where(resource is Composition).empty()`)
2. Bundle.identifier
Short | Instance identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..?
4. Bundle.type
Fixed Value | `document`
6. Bundle.timestamp
Short | Instance identifier
Control | 1..?
8. Bundle.link
Control | 0..0
10. Bundle.entry
Definition | An entry resource included in the Shared Health Record document bundle resource.
Short | Entry resource in the Shared Health Record bundle
Comments | Must contain the SZZ Composition as the first entry (only a single Composition resource instance may be included). Additional constraints are specified in the SZZ Composition profile.
Control | 3..?
Slicing | This element introduces a set of slices on `Bundle.entry`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ resource profile @ resource
12. Bundle.entry.link
Control | 0..0
14. Bundle.entry.fullUrl
Control | 1..?
16. Bundle.entry.resource
Control | 1..?
18. Bundle.entry.search
Control | 0..0
20. Bundle.entry.request
Control | 0..0
22. Bundle.entry.response
Control | 0..0
24. Bundle.entry:composition
Slice Name | composition
Control | 1..1
26. Bundle.entry:composition.resource
Type | Composition(Composition (SZZ CZ))
28. Bundle.entry:patient
Slice Name | patient
Control | 1..*
30. Bundle.entry:patient.resource
Type | Patient(Patient (CZ core))
32. Bundle.entry:practitioner
Slice Name | practitioner
Control | 1..*
34. Bundle.entry:practitioner.resource
Type | Practitioner(Practitioner (CZ core))
36. Bundle.entry:practitionerRole
Slice Name | practitionerRole
Control | 0..*
38. Bundle.entry:practitionerRole.resource
Type | PractitionerRole(Practitioner Role (CZ core))
40. Bundle.entry:organization
Slice Name | organization
Control | 0..*
42. Bundle.entry:organization.resource
Type | Organization(Organization (CZ core))
44. Bundle.entry:observation
Slice Name | observation
Control | 0..*
46. Bundle.entry:observation.resource
Type | Observation(Observation, Observation: Blood Type (SZZ CZ), Observation: Weight (SZZ CZ))
48. Bundle.entry:adverseEvent
Slice Name | adverseEvent
Control | 0..*
50. Bundle.entry:adverseEvent.resource
Type | AdverseEvent(Adverse event (SZZ CZ))
52. Bundle.entry:allergiesAndIntolerances
Slice Name | allergiesAndIntolerances
Control | 0..*
54. Bundle.entry:allergiesAndIntolerances.resource
Type | AllergyIntolerance(Allergy intolerance (SZZ CZ))
56. Bundle.entry:medicationStatements
Slice Name | medicationStatements
Control | 0..*
58. Bundle.entry:medicationStatements.resource
Type | MedicationStatement(Medication Statement (CZ))
60. Bundle.entry:medications
Slice Name | medications
Control | 0..*
62. Bundle.entry:medications.resource
Type | Medication(Medication (CZ))
64. Bundle.entry:documentReference
Slice Name | documentReference
Control | 0..*
66. Bundle.entry:documentReference.resource
Type | DocumentReference(DocumentReference containing logo (CZ))
68. Bundle.entry:immunization
Slice Name | immunization
Control | 0..*
70. Bundle.entry:immunization.resource
Type | Immunization(Immunization against HPV Resource Profile (SZZ CZ))
72. Bundle.signature
Short | Report Digital Signature
74. Bundle.signature.type
Short | Digital Signature Purposes
76. Bundle.signature.when
Short | When was signed
78. Bundle.signature.who
Short | Who signed.
80. Bundle.signature.data
Short | Signature content

Guidance on how to interpret the contents of this table can be foundhere

0. Bundle
Definition | Shared Health Record bundle.
Short | Shared Health Record bundle
Control | 0..*
Is Modifier | false
Summary | false
Invariants | bdl-1: total only when a search or history (`total.empty() or (type = 'searchset') or (type = 'history')`) bdl-2: entry.search only when a search (`entry.search.empty() or (type = 'searchset')`) bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (`entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`) bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (`entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`) bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (`(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`) bdl-9: A document must have an identifier with a system and a value (`type = 'document' implies (identifier.system.exists() and identifier.value.exists())`) bdl-10: A document must have a date (`type = 'document' implies (timestamp.hasValue())`) bdl-11: A document must have a Composition as the first resource (`type = 'document' implies entry.first().resource.is(Composition)`) bdl-12: A message must have a MessageHeader as the first resource (`type = 'message' implies entry.first().resource.is(MessageHeader)`) bdl-elp-1: An document must have no additional Composition (including Composition subclass) resources besides the first. (`entry.tail().where(resource is Composition).empty()`)
2. Bundle.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Bundle.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Bundle.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Bundle.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Bundle.identifier
Definition | A persistent identifier for the bundle that won't change as a bundle is copied from server to server.
Short | Instance identifier
Comments | Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..1
Type | Identifier
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Bundle.type
Definition | Indicates the purpose of this bundle - how it is intended to be used.
Short | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Comments | It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.
Control | 1..1
Binding | The codes SHALL be taken from BundleType (required to `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` ) Indicates the purpose of a bundle - how it is intended to be used.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Fixed Value | `document`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. Bundle.timestamp
Definition | The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.
Short | Instance identifier
Comments | For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated. Usage: document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.
Control | 1..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. Bundle.total
Definition | If a set of search matches, this is the total number of entries of type 'match' across all pages in the search. It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle.
Short | If search, the total number of matches
Comments | Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.
Control | 0..1 This element is affected by the following invariants: bdl-1
Type | unsignedInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. Bundle.link
Definition | A series of links that provide context to this bundle.
Short | Links related to this Bundle
Comments | Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS). Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly. This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.
Control | 0..0
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
25. Bundle.entry
Definition | An entry resource included in the Shared Health Record document bundle resource.
Short | Entry resource in the Shared Health Record bundle
Comments | Must contain the SZZ Composition as the first entry (only a single Composition resource instance may be included). Additional constraints are specified in the SZZ Composition profile.
Control | 3..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Bundle.entry`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ resource profile @ resource
27. Bundle.entry.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
29. Bundle.entry.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
31. Bundle.entry.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
33. Bundle.entry.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
35. Bundle.entry.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
37. Bundle.entry.resource
Definition | The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.
Short | A resource in the bundle
Control | 1..1
Type | Resource
Is Modifier | false
Summary | true
39. Bundle.entry.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Bundle.entry.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
57. Bundle.entry.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
67. Bundle.entry:composition
Slice Name | composition
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 1..1
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
69. Bundle.entry:composition.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
71. Bundle.entry:composition.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
73. Bundle.entry:composition.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
75. Bundle.entry:composition.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
77. Bundle.entry:composition.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
79. Bundle.entry:composition.resource
Definition | Shared Health Record composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.
Short | Shared Health Record composition
Comments | While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.
Control | 1..1
Type | Composition(Composition (SZZ CZ))
Is Modifier | false
Summary | false
81. Bundle.entry:composition.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Bundle.entry:composition.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
99. Bundle.entry:composition.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
109. Bundle.entry:patient
Slice Name | patient
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 1..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
111. Bundle.entry:patient.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
113. Bundle.entry:patient.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
115. Bundle.entry:patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
117. Bundle.entry:patient.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
119. Bundle.entry:patient.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
121. Bundle.entry:patient.resource
Definition | This profile sets minimum expectations for represention of Patient in FHIR for the purpose of the Czech national interoperability standards.
Short | Czech Patient (base)
Control | 1..1
Type | Patient(Patient (CZ core))
Is Modifier | false
Summary | false
Alternate Names | SubjectOfCare Client Resident
123. Bundle.entry:patient.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Bundle.entry:patient.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
141. Bundle.entry:patient.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
151. Bundle.entry:practitioner
Slice Name | practitioner
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 1..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
153. Bundle.entry:practitioner.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
155. Bundle.entry:practitioner.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
157. Bundle.entry:practitioner.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
159. Bundle.entry:practitioner.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
161. Bundle.entry:practitioner.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
163. Bundle.entry:practitioner.resource
Definition | Czech national profile sets minimum expectations for represention of practitioner in HL7 FHIR.
Short | Czech Practitioner (core)
Control | 1..1
Type | Practitioner(Practitioner (CZ core))
Is Modifier | false
Summary | false
165. Bundle.entry:practitioner.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. Bundle.entry:practitioner.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
183. Bundle.entry:practitioner.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
193. Bundle.entry:practitionerRole
Slice Name | practitionerRole
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
195. Bundle.entry:practitionerRole.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
197. Bundle.entry:practitionerRole.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
199. Bundle.entry:practitionerRole.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
201. Bundle.entry:practitionerRole.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
203. Bundle.entry:practitionerRole.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
205. Bundle.entry:practitionerRole.resource
Definition | This profile sets minimum expectations for a healthcare role in the Czech healthcare system based on the FHIR PractitionerRole.
Short | Czech Practitioner Role (core)
Comments | Key elements include a reference to the healthcare worker (practitioner), institution (organization), role code according to the National Code of Healthcare Professions (NCZP), specialization according to the KRPZS, place of performance (location), contact details (telecom), role status (active) and validity period (period). A specific extension for the Czech Republic is the connection with the Master Register of Healthcare Workers (KRZP) and the KRPZS, which enables verification of expertise and valid registration.
Control | 1..1
Type | PractitionerRole(Practitioner Role (CZ core))
Is Modifier | false
Summary | false
207. Bundle.entry:practitionerRole.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. Bundle.entry:practitionerRole.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
225. Bundle.entry:practitionerRole.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
235. Bundle.entry:organization
Slice Name | organization
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
237. Bundle.entry:organization.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
239. Bundle.entry:organization.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
241. Bundle.entry:organization.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
243. Bundle.entry:organization.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
245. Bundle.entry:organization.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
247. Bundle.entry:organization.resource
Definition | Czech national profile sets minimum expectations for represention of organization in HL7 FHIR.
Short | Czech Organization (core)
Control | 1..1
Type | Organization(Organization (CZ core))
Is Modifier | false
Summary | false
249. Bundle.entry:organization.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
256. Bundle.entry:organization.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
267. Bundle.entry:organization.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
277. Bundle.entry:observation
Slice Name | observation
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
279. Bundle.entry:observation.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
281. Bundle.entry:observation.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
283. Bundle.entry:observation.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
285. Bundle.entry:observation.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
287. Bundle.entry:observation.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
289. Bundle.entry:observation.resource
Definition | Measurements and simple assertions made about a patient, device or other subject.
Short | Measurements and simple assertions
Comments | Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.
Control | 1..1
Type | Observation(Observation, Observation: Blood Type (SZZ CZ), Observation: Weight (SZZ CZ))
Is Modifier | false
Summary | false
Alternate Names | Vital Signs, Measurement, Results, Tests
291. Bundle.entry:observation.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
298. Bundle.entry:observation.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
309. Bundle.entry:observation.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
319. Bundle.entry:adverseEvent
Slice Name | adverseEvent
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
321. Bundle.entry:adverseEvent.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
323. Bundle.entry:adverseEvent.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
325. Bundle.entry:adverseEvent.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
327. Bundle.entry:adverseEvent.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
329. Bundle.entry:adverseEvent.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
331. Bundle.entry:adverseEvent.resource
Definition | Actual or potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.
Short | Medical care, research study or other healthcare event causing physical injury
Control | 1..1
Type | AdverseEvent(Adverse event (SZZ CZ))
Is Modifier | false
Summary | false
Alternate Names | AE
333. Bundle.entry:adverseEvent.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
340. Bundle.entry:adverseEvent.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
351. Bundle.entry:adverseEvent.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
361. Bundle.entry:allergiesAndIntolerances
Slice Name | allergiesAndIntolerances
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
363. Bundle.entry:allergiesAndIntolerances.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
365. Bundle.entry:allergiesAndIntolerances.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
367. Bundle.entry:allergiesAndIntolerances.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
369. Bundle.entry:allergiesAndIntolerances.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
371. Bundle.entry:allergiesAndIntolerances.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
373. Bundle.entry:allergiesAndIntolerances.resource
Definition | The profile presents the requirements for AllergyIntolerance within the Czech national interoperability project. It represents a record of a clinical assessment of an allergy or intolerance; a propensity, or a potential risk to an individual, to have an adverse reaction on future exposure to the specified substance, or class of substance.
Short | Czech Allergy Intolerance
Comments | Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.
Control | 1..1
Type | AllergyIntolerance(Allergy intolerance (SZZ CZ))
Is Modifier | false
Summary | false
Alternate Names | Allergy, Intolerance, Adverse Reaction
375. Bundle.entry:allergiesAndIntolerances.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
382. Bundle.entry:allergiesAndIntolerances.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
393. Bundle.entry:allergiesAndIntolerances.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
403. Bundle.entry:medicationStatements
Slice Name | medicationStatements
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
405. Bundle.entry:medicationStatements.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
407. Bundle.entry:medicationStatements.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
409. Bundle.entry:medicationStatements.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
411. Bundle.entry:medicationStatements.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
413. Bundle.entry:medicationStatements.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
415. Bundle.entry:medicationStatements.resource
Definition | This profile is derived from the Medication Statement in FHIR, which is a record of the medication the patient is taking.
Short | Czech Medication Statement
Comments | When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.
Control | 1..1
Type | MedicationStatement(Medication Statement (CZ))
Is Modifier | false
Summary | false
417. Bundle.entry:medicationStatements.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
424. Bundle.entry:medicationStatements.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
435. Bundle.entry:medicationStatements.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
445. Bundle.entry:medications
Slice Name | medications
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
447. Bundle.entry:medications.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
449. Bundle.entry:medications.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
451. Bundle.entry:medications.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
453. Bundle.entry:medications.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
455. Bundle.entry:medications.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
457. Bundle.entry:medications.resource
Definition | This profile is derived from the Medication in FHIR, which is a record of the medication.
Short | Czech Medication
Control | 1..1
Type | Medication(Medication (CZ))
Is Modifier | false
Summary | false
459. Bundle.entry:medications.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
466. Bundle.entry:medications.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
477. Bundle.entry:medications.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
487. Bundle.entry:documentReference
Slice Name | documentReference
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
489. Bundle.entry:documentReference.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
491. Bundle.entry:documentReference.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
493. Bundle.entry:documentReference.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
495. Bundle.entry:documentReference.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
497. Bundle.entry:documentReference.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
499. Bundle.entry:documentReference.resource
Definition | Base64 encoded logo
Short | Logo
Comments | Usually, this is used for documents other than those defined by FHIR.
Control | 1..1
Type | DocumentReference(DocumentReference containing logo (CZ))
Is Modifier | false
Summary | false
501. Bundle.entry:documentReference.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
508. Bundle.entry:documentReference.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
519. Bundle.entry:documentReference.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
529. Bundle.entry:immunization
Slice Name | immunization
Definition | An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).
Short | Entry in the bundle - will have a resource or information
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | bdl-5: must be a resource unless there's a request or response (`resource.exists() or request.exists() or response.exists()`) bdl-8: fullUrl cannot be a version specific reference (`fullUrl.contains('/_history/').not()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
531. Bundle.entry:immunization.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
533. Bundle.entry:immunization.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
535. Bundle.entry:immunization.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
537. Bundle.entry:immunization.link
Definition | A series of links that provide context to this entry.
Short | Links related to this entry
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
539. Bundle.entry:immunization.fullUrl
Definition | The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) Results from operations might involve resources that are not identified.
Short | URI for resource (Absolute URL server address or URI for UUID/OID)
Comments | fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id. Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
541. Bundle.entry:immunization.resource
Definition | Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.
Short | Immunization event information
Control | 1..1
Type | Immunization(Immunization against HPV Resource Profile (SZZ CZ))
Is Modifier | false
Summary | false
543. Bundle.entry:immunization.search
Definition | Information about the search process that lead to the creation of this entry.
Short | Search related information
Control | 0..0 This element is affected by the following invariants: bdl-2
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
550. Bundle.entry:immunization.request
Definition | Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.
Short | Additional execution information (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-3
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
561. Bundle.entry:immunization.response
Definition | Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.
Short | Results of execution (transaction/batch/history)
Control | 0..0 This element is affected by the following invariants: bdl-4
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
571. Bundle.signature
Definition | Digital Signature - base64 encoded. XML-DSig or a JWT.
Short | Report Digital Signature
Comments | The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.
Control | 0..1
Type | Signature
Is Modifier | false
Summary | true
Requirements | A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
573. Bundle.signature.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
575. Bundle.signature.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Bundle.signature.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
577. Bundle.signature.type
Definition | An indication of the reason that the entity signed this document. This may be explicitly included as part of the signature information and can be used when determining accountability for various actions concerning the document.
Short | Digital Signature Purposes
Comments | Examples include attesting to: authorship, correct transcription, and witness of specific event. Also known as a "Commitment Type Indication".
Control | 1..*
Binding | The codes SHOULD be taken from SignatureTypeCodes (preferred to `http://hl7.org/fhir/ValueSet/signature-type|4.0.1` ) An indication of the reason that an entity signed the object.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
579. Bundle.signature.when
Definition | When the digital signature was signed.
Short | When was signed
Comments | This should agree with the information in the signature.
Control | 1..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
581. Bundle.signature.who
Definition | A reference to an application-usable description of the identity that signed (e.g. the signature used their private key).
Short | Who signed.
Comments | This should agree with the information in the signature.
Control | 1..1
Type | Reference(Practitioner, PractitionerRole, RelatedPerson, Patient, Device, Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
583. Bundle.signature.onBehalfOf
Definition | A reference to an application-usable description of the identity that is represented by the signature.
Short | The party represented
Comments | The party that can't sign. For example a child.
Control | 0..1
Type | Reference(Practitioner, PractitionerRole, RelatedPerson, Patient, Device, Organization)
Is Modifier | false
Summary | true
Requirements | used when the signature is on behalf of a non-signer.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
585. Bundle.signature.targetFormat
Definition | A mime type that indicates the technical format of the target resources signed by the signature.
Short | The technical format of the signed resources
Comments | "xml", "json" and "ttl" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.
Control | 0..1
Binding | The codes SHALL be taken from Mime Types (required to `http://hl7.org/fhir/ValueSet/mimetypes|4.0.1` ) The mime type of an attachment. Any valid mime type is allowed.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
587. Bundle.signature.sigFormat
Definition | A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jose for JWS, and image/* for a graphical image of a signature, etc.
Short | The technical format of the signature
Control | 0..1
Binding | The codes SHALL be taken from Mime Types (required to `http://hl7.org/fhir/ValueSet/mimetypes|4.0.1` ) The mime type of an attachment. Any valid mime type is allowed.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
589. Bundle.signature.data
Definition | The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.
Short | Signature content
Comments | Where the signature type is an XML DigSig, the signed content is a FHIR Resource(s), the signature is of the XML form of the Resource(s) using XML-Signature (XMLDIG) "Detached Signature" form.
Control | 0..1
Type | base64Binary
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)