Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0 - CI Build United States of America flag

Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

Resource Profile: RTPBC Request Bundle

Official URL: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-request-bundle Version: 2.0.0
Standards status: Trial-use Maturity Level: 4 Computable Name: RtpbcRequestBundle

This profile constrains a Bundle resource for use as the request in a Real-time Pharmacy Benefit Check (RTPBC) process


The request Bundle profile identifies the resources to be submitted in an RTPBC request. The following are used in all circumstances and have a minimum cardinality of 1:

  • MessageHeader
  • Claim
  • Patient
  • MedicationRequest
  • Pharmacy
  • Practitioner
  • In addition, the Coverage resource is necessary when submitting a request to an insurer or other agent representing the patient's pharmacy benefit. It's minimum cardinality is 0.

Must Support elements in this profile

Client systems

  • All the above Bundle resource entries are designated Must Support. The required elements MUST be populated with correct and complete information in order to elicit reliable information in the RTPBC response.
  • When submitting to an insurer, the Coverage resource MUST also be populated. When submitting to a pricing source, Coverage is not required.

Responding insurer systems

  • MUST accept all Must Support resources and make use of provided information when determining cost and coverage

Responding discount pricing sources

  • Must accept Claim, Patient, MedicationRequest, Pharmacy and Practitioner resources and use as applicable when determining pricing information

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... type SΣ 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Fixed Value: message
... Slices for entry SΣC 6..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... entry:messageheader SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcRequestMessageHeader A resource that describes a message that is exchanged between systems
.... entry:claim SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcRequestClaim Claim, Pre-determination or Pre-authorization
.... entry:patient SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcPatient Information about an individual or animal receiving health care services
.... entry:medicationrequest SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcMedicationRequest Ordering of medication for patient or group
.... entry:pharmacy SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcPharmacy A grouping of people or organizations with a common purpose
.... entry:practitioner SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 USCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:coverage SΣC 0..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcCoverage Insurance or medical plan or a payment agreement

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.typerequiredFixed Value: message
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
From the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:messageheader.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:claim.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:patient.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:medicationrequest.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:pharmacy.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:practitioner.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:coverage.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.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-5errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragemust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl 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-8errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragefullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle 0..* Bundle Contains a collection of resources
... type S 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: message
... total 0..0
... Slices for entry S 6..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
.... entry:All Slices Content/Rules for all slices
..... search 0..0
..... request 0..0
..... response 0..0
.... entry:messageheader S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcRequestMessageHeader A resource that describes a message that is exchanged between systems
.... entry:claim S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcRequestClaim Claim, Pre-determination or Pre-authorization
.... entry:patient S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcPatient Information about an individual or animal receiving health care services
.... entry:medicationrequest S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcMedicationRequest Ordering of medication for patient or group
.... entry:pharmacy S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcPharmacy A grouping of people or organizations with a common purpose
.... entry:practitioner S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 USCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:coverage S 0..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcCoverage Insurance or medical plan or a payment agreement

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier Σ 0..1 Identifier Persistent identifier for the bundle
... type SΣ 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Fixed Value: message
... timestamp Σ 0..1 instant When the bundle was assembled
... link Σ 0..* BackboneElement Links related to this Bundle
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relation Σ 1..1 string See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ 1..1 uri Reference details for the link
... Slices for entry SΣC 6..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ 0..1 Resource A resource in the bundle
.... entry:messageheader SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcRequestMessageHeader A resource that describes a message that is exchanged between systems
.... entry:claim SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcRequestClaim Claim, Pre-determination or Pre-authorization
.... entry:patient SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcPatient Information about an individual or animal receiving health care services
.... entry:medicationrequest SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcMedicationRequest Ordering of medication for patient or group
.... entry:pharmacy SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcPharmacy A grouping of people or organizations with a common purpose
.... entry:practitioner SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 USCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:coverage SΣC 0..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcCoverage Insurance or medical plan or a payment agreement
... signature Σ 0..1 Signature Digital Signature

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Bundle.typerequiredFixed Value: message
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
From the FHIR Standard
Bundle.entry.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:messageheader.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:messageheader.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:claim.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:claim.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:patient.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:patient.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:medicationrequest.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:medicationrequest.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:pharmacy.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:pharmacy.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:practitioner.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:practitioner.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:coverage.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:coverage.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.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-5errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragemust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl 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-8errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragefullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... type SΣ 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Fixed Value: message
... Slices for entry SΣC 6..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... entry:messageheader SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcRequestMessageHeader A resource that describes a message that is exchanged between systems
.... entry:claim SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcRequestClaim Claim, Pre-determination or Pre-authorization
.... entry:patient SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcPatient Information about an individual or animal receiving health care services
.... entry:medicationrequest SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcMedicationRequest Ordering of medication for patient or group
.... entry:pharmacy SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcPharmacy A grouping of people or organizations with a common purpose
.... entry:practitioner SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 USCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:coverage SΣC 0..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource S 1..1 RtpbcCoverage Insurance or medical plan or a payment agreement

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.typerequiredFixed Value: message
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
From the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:messageheader.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:claim.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:patient.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:medicationrequest.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:pharmacy.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:practitioner.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:coverage.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.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-5errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragemust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl 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-8errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragefullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle 0..* Bundle Contains a collection of resources
... type S 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: message
... total 0..0
... Slices for entry S 6..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
.... entry:All Slices Content/Rules for all slices
..... search 0..0
..... request 0..0
..... response 0..0
.... entry:messageheader S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcRequestMessageHeader A resource that describes a message that is exchanged between systems
.... entry:claim S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcRequestClaim Claim, Pre-determination or Pre-authorization
.... entry:patient S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcPatient Information about an individual or animal receiving health care services
.... entry:medicationrequest S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcMedicationRequest Ordering of medication for patient or group
.... entry:pharmacy S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcPharmacy A grouping of people or organizations with a common purpose
.... entry:practitioner S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 USCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:coverage S 0..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource S 1..1 RtpbcCoverage Insurance or medical plan or a payment agreement

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier Σ 0..1 Identifier Persistent identifier for the bundle
... type SΣ 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Fixed Value: message
... timestamp Σ 0..1 instant When the bundle was assembled
... link Σ 0..* BackboneElement Links related to this Bundle
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relation Σ 1..1 string See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ 1..1 uri Reference details for the link
... Slices for entry SΣC 6..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ 0..1 Resource A resource in the bundle
.... entry:messageheader SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcRequestMessageHeader A resource that describes a message that is exchanged between systems
.... entry:claim SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcRequestClaim Claim, Pre-determination or Pre-authorization
.... entry:patient SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcPatient Information about an individual or animal receiving health care services
.... entry:medicationrequest SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcMedicationRequest Ordering of medication for patient or group
.... entry:pharmacy SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcPharmacy A grouping of people or organizations with a common purpose
.... entry:practitioner SΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 USCorePractitionerProfile A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:coverage SΣC 0..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 RtpbcCoverage Insurance or medical plan or a payment agreement
... signature Σ 0..1 Signature Digital Signature

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Bundle.typerequiredFixed Value: message
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
From the FHIR Standard
Bundle.entry.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:messageheader.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:messageheader.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:claim.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:claim.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:patient.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:patient.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:medicationrequest.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:medicationrequest.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:pharmacy.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:pharmacy.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:practitioner.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:practitioner.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:coverage.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:coverage.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.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-5errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragemust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl 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-8errorBundle.entry, Bundle.entry:messageheader, Bundle.entry:claim, Bundle.entry:patient, Bundle.entry:medicationrequest, Bundle.entry:pharmacy, Bundle.entry:practitioner, Bundle.entry:coveragefullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron