Bulk Data Access IG
4.0.0-ballot - STU 4 - Ballot International flag

Bulk Data Access IG, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/bulk-data/ and changes regularly. See the Directory of published versions

Logical Model: Bulk Publish Manifest - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 2

Definitions for the BulkPublishManifest logical model

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

0. BulkPublishManifest
Definition

Logical model describing the manifest returned by a $bulk-publish endpoint. Extends BulkDataManifest with fields to advertise a Data Provider's update cadence and support pending-based incremental update chains.


Base definition for all elements in a resource.

ShortBulk Publish ManifestBase for all elements
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. BulkPublishManifest.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
4. BulkPublishManifest.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.

ShortAdditional 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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-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())
SlicingThis element introduces a set of slices on BulkPublishManifest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. BulkPublishManifest.manifestType
    Definition

    Canonical URL of the logical model that defines the structure of this publish manifest. E.g., http://hl7.org/fhir/uv/bulkdata/StructureDefinition/BulkPublishManifest. This element will be mandatory in a future release of this IG.

    ShortLogical model that defines this publish manifest
    Control0..1
    Typecanonical
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    8. BulkPublishManifest.transactionTime
    Definition

    Indicates the Data Provider's time when the files in this published manifest were generated. The published files referenced in this manifest SHOULD NOT include any resources modified after this instant, and SHALL include any matching resources modified up to and including this instant.

    ShortTimestamp for the data included in this manifest
    Control1..1
    Typeinstant
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    10. BulkPublishManifest.requiresAccessToken
    Definition

    Indicates whether downloading the files referenced in this manifest requires the same authorization mechanism as access to the manifest itself. Value SHALL be true when both the manifest endpoint and published file endpoints control access using OAuth 2.0 bearer tokens. Value MAY be false when files are exposed through other access-control schemes such as capability URLs or verifiable file servers within an organization's firewall.

    ShortToken required to retrieve published files
    Control1..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. BulkPublishManifest.outputFormat
    Definition

    MIME type of the published files referenced in this manifest. Defaults to application/fhir+ndjson when omitted. Describes the expected format of the published files.

    ShortMIME type of the referenced published files
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    14. BulkPublishManifest.outputOrganizedBy
    Definition

    When resources in the output files are organized by instances of a resource type, that resource type is specified here. When each output file contains a single resource type, this element SHALL be omitted and an individual type element SHALL be included for each file in the output array.

    ShortResource type used to organize output files
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. BulkPublishManifest.outputOrganizedByDetail
    Definition

    Narrative text providing detail on the organizing resource listed in outputOrganizedBy. SHALL NOT be populated in the absence of the outputOrganizedBy element.

    ShortOutput Organized By Detail
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    18. BulkPublishManifest.output
    Definition

    An array of file items with one entry for each generated file.

    ShortOutput Files
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. BulkPublishManifest.output.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    22. BulkPublishManifest.output.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.

    ShortAdditional 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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-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())
    SlicingThis element introduces a set of slices on BulkPublishManifest.output.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. BulkPublishManifest.output.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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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 Namesextensions, user content, modifiers
      Invariantsele-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())
      26. BulkPublishManifest.output.type
      Definition

      The FHIR resource type contained in the file. When the manifest does not include an outputOrganizedBy value, this element SHALL be populated. When the manifest includes the outputOrganizedBy element, this element SHALL NOT be populated.

      ShortFHIR Resource Type
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      28. BulkPublishManifest.output.url
      Definition

      The absolute path to the file. The format of the file SHOULD match the outputFormat element in this manifest when that element is populated.

      ShortFile URL
      Control1..1
      Typeurl
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      30. BulkPublishManifest.output.continuesInFile
      Definition

      URL of the next output file when resources for an organizing resource span multiple files.

      ShortContinuation File URL
      Control0..1
      Typeurl
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      32. BulkPublishManifest.output.count
      Definition

      The number of resources in the file.

      ShortResource Count
      Control0..1
      Typeinteger
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      34. BulkPublishManifest.output.fileSize
      Definition

      The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

      ShortFile Size
      Control0..1
      Typeinteger
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      36. BulkPublishManifest.deleted
      Definition

      References to files containing pointers to deleted resources in the form of FHIR Transaction Bundles. Each line in the output files SHALL contain a FHIR Bundle with a type of transaction which SHALL contain one or more entry items that reflect a deleted resource. In each entry, the request.url and request.method elements SHALL be populated and request.method SHALL be set to DELETE.

      ShortDeleted Resource Files
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. BulkPublishManifest.deleted.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      40. BulkPublishManifest.deleted.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.

      ShortAdditional 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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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())
      SlicingThis element introduces a set of slices on BulkPublishManifest.deleted.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 42. BulkPublishManifest.deleted.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).

        ShortExtensions 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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        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 Namesextensions, user content, modifiers
        Invariantsele-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())
        44. BulkPublishManifest.deleted.url
        Definition

        The absolute path to the file.

        ShortFile URL
        Control1..1
        Typeurl
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        46. BulkPublishManifest.deleted.count
        Definition

        The number of resources in the file.

        ShortResource Count
        Control0..1
        Typeinteger
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        48. BulkPublishManifest.deleted.fileSize
        Definition

        The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

        ShortFile Size
        Control0..1
        Typeinteger
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        50. BulkPublishManifest.outcome
        Definition

        Files containing OperationOutcome resources. Error, success, warning, information and other messages related to the operation SHOULD be included here (not in output).

        ShortOutcome Files
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. BulkPublishManifest.outcome.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        54. BulkPublishManifest.outcome.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.

        ShortAdditional 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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-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())
        SlicingThis element introduces a set of slices on BulkPublishManifest.outcome.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 56. BulkPublishManifest.outcome.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).

          ShortExtensions 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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          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 Namesextensions, user content, modifiers
          Invariantsele-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())
          58. BulkPublishManifest.outcome.url
          Definition

          The absolute path to the file.

          ShortFile URL
          Control1..1
          Typeurl
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          60. BulkPublishManifest.outcome.count
          Definition

          The number of resources in the file.

          ShortResource Count
          Control0..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          62. BulkPublishManifest.outcome.fileSize
          Definition

          The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

          ShortFile Size
          Control0..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          64. BulkPublishManifest.outcome.countSeverity
          Definition

          Count of OperationOutcome resources grouped by severity level.

          ShortCount by severity
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. BulkPublishManifest.outcome.countSeverity.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          68. BulkPublishManifest.outcome.countSeverity.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.

          ShortAdditional 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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis element introduces a set of slices on BulkPublishManifest.outcome.countSeverity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 70. BulkPublishManifest.outcome.countSeverity.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).

            ShortExtensions 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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            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 Namesextensions, user content, modifiers
            Invariantsele-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())
            72. BulkPublishManifest.outcome.countSeverity.code
            Definition

            Severity level from OperationOutcome.issue.severity (fatal, error, warning, information, success)

            ShortSeverity
            Control1..1
            BindingThe codes SHALL be taken from IssueSeverity
            (required to http://hl7.org/fhir/ValueSet/issue-severity)
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            74. BulkPublishManifest.outcome.countSeverity.count
            Definition

            The number of OperationOutcome resources in the file with this severity level.

            ShortCount
            Control1..1
            Typeinteger
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            76. BulkPublishManifest.link
            Definition

            When present, a single link with relation next points to another manifest page, an incremental update manifest page, or a pending or closed update-chain marker.

            ShortNext manifest page or update-chain marker
            Control0..1
            TypeBackboneElement
            Invariantsbdm-link-relation-next: Manifest links SHALL use a relation value of 'next'. (relation = 'next')
            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            78. BulkPublishManifest.link.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            80. BulkPublishManifest.link.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.

            ShortAdditional 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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis element introduces a set of slices on BulkPublishManifest.link.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 82. BulkPublishManifest.link.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).

              ShortExtensions 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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              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 Namesextensions, user content, modifiers
              Invariantsele-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())
              84. BulkPublishManifest.link.relation
              Definition

              The relationship type. Value SHALL be 'next', indicating the URL points to the location of another manifest.

              ShortRelation
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              86. BulkPublishManifest.link.url
              Definition

              URL pointing to another manifest page, or to an operation-defined marker such as #pending or #closed.

              ShortNext manifest page or marker URL
              Control1..1
              Typeurl
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              88. BulkPublishManifest.updateCadence
              Definition

              ISO 8601 duration indicating the typical rate at which the Data Provider expects the manifest or pending update-chain pages to change. When provided, Data Consumers SHOULD use this value to choose a polling interval for subsequent requests.

              ShortUpdate Cadence
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

              0. BulkPublishManifest
              Definition

              Logical model describing the manifest returned by a $bulk-publish endpoint. Extends BulkDataManifest with fields to advertise a Data Provider's update cadence and support pending-based incremental update chains.

              ShortBulk Publish Manifest
              Logical ModelInstances of this logical model are not marked to be the target of a Reference
              2. BulkPublishManifest.manifestType
              Definition

              Canonical URL of the logical model that defines the structure of this publish manifest. E.g., http://hl7.org/fhir/uv/bulkdata/StructureDefinition/BulkPublishManifest. This element will be mandatory in a future release of this IG.

              ShortLogical model that defines this publish manifest
              4. BulkPublishManifest.transactionTime
              Definition

              Indicates the Data Provider's time when the files in this published manifest were generated. The published files referenced in this manifest SHOULD NOT include any resources modified after this instant, and SHALL include any matching resources modified up to and including this instant.

              6. BulkPublishManifest.requiresAccessToken
              Definition

              Indicates whether downloading the files referenced in this manifest requires the same authorization mechanism as access to the manifest itself. Value SHALL be true when both the manifest endpoint and published file endpoints control access using OAuth 2.0 bearer tokens. Value MAY be false when files are exposed through other access-control schemes such as capability URLs or verifiable file servers within an organization's firewall.

              ShortToken required to retrieve published files
              8. BulkPublishManifest.outputFormat
              Definition

              MIME type of the published files referenced in this manifest. Defaults to application/fhir+ndjson when omitted. Describes the expected format of the published files.

              ShortMIME type of the referenced published files
              10. BulkPublishManifest.output
              12. BulkPublishManifest.output.url
              Definition

              The absolute path to the file. The format of the file SHOULD match the outputFormat element in this manifest when that element is populated.

              14. BulkPublishManifest.link
              Definition

              When present, a single link with relation next points to another manifest page, an incremental update manifest page, or a pending or closed update-chain marker.

              ShortNext manifest page or update-chain marker
              Control0..1
              16. BulkPublishManifest.link.url
              Definition

              URL pointing to another manifest page, or to an operation-defined marker such as #pending or #closed.

              ShortNext manifest page or marker URL
              18. BulkPublishManifest.updateCadence
              Definition

              ISO 8601 duration indicating the typical rate at which the Data Provider expects the manifest or pending update-chain pages to change. When provided, Data Consumers SHOULD use this value to choose a polling interval for subsequent requests.

              ShortUpdate Cadence
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

              0. BulkPublishManifest
              Definition

              Logical model describing the manifest returned by a $bulk-publish endpoint. Extends BulkDataManifest with fields to advertise a Data Provider's update cadence and support pending-based incremental update chains.

              ShortBulk Publish Manifest
              Control0..*
              This element is affected by the following invariants: ele-1
              Is Modifierfalse
              Logical ModelInstances of this logical model are not marked to be the target of a Reference
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              2. BulkPublishManifest.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              4. BulkPublishManifest.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.

              ShortAdditional 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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis element introduces a set of slices on BulkPublishManifest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 6. BulkPublishManifest.manifestType
                Definition

                Canonical URL of the logical model that defines the structure of this publish manifest. E.g., http://hl7.org/fhir/uv/bulkdata/StructureDefinition/BulkPublishManifest. This element will be mandatory in a future release of this IG.

                ShortLogical model that defines this publish manifest
                Control0..1
                Typecanonical
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                8. BulkPublishManifest.transactionTime
                Definition

                Indicates the Data Provider's time when the files in this published manifest were generated. The published files referenced in this manifest SHOULD NOT include any resources modified after this instant, and SHALL include any matching resources modified up to and including this instant.

                ShortTimestamp for the data included in this manifest
                Control1..1
                Typeinstant
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                10. BulkPublishManifest.requiresAccessToken
                Definition

                Indicates whether downloading the files referenced in this manifest requires the same authorization mechanism as access to the manifest itself. Value SHALL be true when both the manifest endpoint and published file endpoints control access using OAuth 2.0 bearer tokens. Value MAY be false when files are exposed through other access-control schemes such as capability URLs or verifiable file servers within an organization's firewall.

                ShortToken required to retrieve published files
                Control1..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                12. BulkPublishManifest.outputFormat
                Definition

                MIME type of the published files referenced in this manifest. Defaults to application/fhir+ndjson when omitted. Describes the expected format of the published files.

                ShortMIME type of the referenced published files
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                14. BulkPublishManifest.outputOrganizedBy
                Definition

                When resources in the output files are organized by instances of a resource type, that resource type is specified here. When each output file contains a single resource type, this element SHALL be omitted and an individual type element SHALL be included for each file in the output array.

                ShortResource type used to organize output files
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                16. BulkPublishManifest.outputOrganizedByDetail
                Definition

                Narrative text providing detail on the organizing resource listed in outputOrganizedBy. SHALL NOT be populated in the absence of the outputOrganizedBy element.

                ShortOutput Organized By Detail
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                18. BulkPublishManifest.output
                Definition

                An array of file items with one entry for each generated file.

                ShortOutput Files
                Control0..*
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                20. BulkPublishManifest.output.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                22. BulkPublishManifest.output.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.

                ShortAdditional 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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-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())
                SlicingThis element introduces a set of slices on BulkPublishManifest.output.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 24. BulkPublishManifest.output.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).

                  ShortExtensions 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.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  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 Namesextensions, user content, modifiers
                  Invariantsele-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())
                  26. BulkPublishManifest.output.type
                  Definition

                  The FHIR resource type contained in the file. When the manifest does not include an outputOrganizedBy value, this element SHALL be populated. When the manifest includes the outputOrganizedBy element, this element SHALL NOT be populated.

                  ShortFHIR Resource Type
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  28. BulkPublishManifest.output.url
                  Definition

                  The absolute path to the file. The format of the file SHOULD match the outputFormat element in this manifest when that element is populated.

                  ShortFile URL
                  Control1..1
                  Typeurl
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  30. BulkPublishManifest.output.continuesInFile
                  Definition

                  URL of the next output file when resources for an organizing resource span multiple files.

                  ShortContinuation File URL
                  Control0..1
                  Typeurl
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  32. BulkPublishManifest.output.count
                  Definition

                  The number of resources in the file.

                  ShortResource Count
                  Control0..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  34. BulkPublishManifest.output.fileSize
                  Definition

                  The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

                  ShortFile Size
                  Control0..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  36. BulkPublishManifest.deleted
                  Definition

                  References to files containing pointers to deleted resources in the form of FHIR Transaction Bundles. Each line in the output files SHALL contain a FHIR Bundle with a type of transaction which SHALL contain one or more entry items that reflect a deleted resource. In each entry, the request.url and request.method elements SHALL be populated and request.method SHALL be set to DELETE.

                  ShortDeleted Resource Files
                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  38. BulkPublishManifest.deleted.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  40. BulkPublishManifest.deleted.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.

                  ShortAdditional 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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-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())
                  SlicingThis element introduces a set of slices on BulkPublishManifest.deleted.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 42. BulkPublishManifest.deleted.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).

                    ShortExtensions 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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    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 Namesextensions, user content, modifiers
                    Invariantsele-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())
                    44. BulkPublishManifest.deleted.url
                    Definition

                    The absolute path to the file.

                    ShortFile URL
                    Control1..1
                    Typeurl
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    46. BulkPublishManifest.deleted.count
                    Definition

                    The number of resources in the file.

                    ShortResource Count
                    Control0..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    48. BulkPublishManifest.deleted.fileSize
                    Definition

                    The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

                    ShortFile Size
                    Control0..1
                    Typeinteger
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    50. BulkPublishManifest.outcome
                    Definition

                    Files containing OperationOutcome resources. Error, success, warning, information and other messages related to the operation SHOULD be included here (not in output).

                    ShortOutcome Files
                    Control0..*
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    52. BulkPublishManifest.outcome.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    54. BulkPublishManifest.outcome.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.

                    ShortAdditional 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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-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())
                    SlicingThis element introduces a set of slices on BulkPublishManifest.outcome.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 56. BulkPublishManifest.outcome.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).

                      ShortExtensions 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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      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 Namesextensions, user content, modifiers
                      Invariantsele-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())
                      58. BulkPublishManifest.outcome.url
                      Definition

                      The absolute path to the file.

                      ShortFile URL
                      Control1..1
                      Typeurl
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      60. BulkPublishManifest.outcome.count
                      Definition

                      The number of resources in the file.

                      ShortResource Count
                      Control0..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      62. BulkPublishManifest.outcome.fileSize
                      Definition

                      The size of the file in bytes. This provides Data Consumers with information about the storage and processing requirements for downloading and parsing the file.

                      ShortFile Size
                      Control0..1
                      Typeinteger
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      64. BulkPublishManifest.outcome.countSeverity
                      Definition

                      Count of OperationOutcome resources grouped by severity level.

                      ShortCount by severity
                      Control0..*
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      66. BulkPublishManifest.outcome.countSeverity.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      68. BulkPublishManifest.outcome.countSeverity.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.

                      ShortAdditional 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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      SlicingThis element introduces a set of slices on BulkPublishManifest.outcome.countSeverity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 70. BulkPublishManifest.outcome.countSeverity.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).

                        ShortExtensions 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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        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 Namesextensions, user content, modifiers
                        Invariantsele-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())
                        72. BulkPublishManifest.outcome.countSeverity.code
                        Definition

                        Severity level from OperationOutcome.issue.severity (fatal, error, warning, information, success)

                        ShortSeverity
                        Control1..1
                        BindingThe codes SHALL be taken from IssueSeverity
                        (required to http://hl7.org/fhir/ValueSet/issue-severity)
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        74. BulkPublishManifest.outcome.countSeverity.count
                        Definition

                        The number of OperationOutcome resources in the file with this severity level.

                        ShortCount
                        Control1..1
                        Typeinteger
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        76. BulkPublishManifest.link
                        Definition

                        When present, a single link with relation next points to another manifest page, an incremental update manifest page, or a pending or closed update-chain marker.

                        ShortNext manifest page or update-chain marker
                        Control0..1
                        TypeBackboneElement
                        Invariantsbdm-link-relation-next: Manifest links SHALL use a relation value of 'next'. (relation = 'next')
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        78. BulkPublishManifest.link.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        80. BulkPublishManifest.link.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.

                        ShortAdditional 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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        SlicingThis element introduces a set of slices on BulkPublishManifest.link.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 82. BulkPublishManifest.link.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).

                          ShortExtensions 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.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          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 Namesextensions, user content, modifiers
                          Invariantsele-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())
                          84. BulkPublishManifest.link.relation
                          Definition

                          The relationship type. Value SHALL be 'next', indicating the URL points to the location of another manifest.

                          ShortRelation
                          Control1..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          86. BulkPublishManifest.link.url
                          Definition

                          URL pointing to another manifest page, or to an operation-defined marker such as #pending or #closed.

                          ShortNext manifest page or marker URL
                          Control1..1
                          Typeurl
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          88. BulkPublishManifest.updateCadence
                          Definition

                          ISO 8601 duration indicating the typical rate at which the Data Provider expects the manifest or pending update-chain pages to change. When provided, Data Consumers SHOULD use this value to choose a polling interval for subsequent requests.

                          ShortUpdate Cadence
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension