Mobile access to Health Documents (MHD)
5.0.1-current - ci-build

Mobile access to Health Documents (MHD), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 5.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions

## Resource Profile: MHD Comprehensive Provide Document Bundle

Official URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle | Version: 5.0.1-current
Active as of 2026-01-13 | Computable Name: ComprehensiveProvideDocumentBundle

A profile on the Bundle transaction for ITI-65 Provide Document resources with Comprehensive Metadata for MHD.

- Comprehensive Metadata: `https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle`
  - this is otherwise known as XDS-on-FHIR
  - shall be a Transaction Bundle
  - all resources shall be compliant with comprehensive constraints, they may be marked comprehensive
  - shall create a SubmissionSet type List that is either minimal, comprehensive, or unContained
  - may create one or more DocumentReference that is either minimal, comprehensive, or unContained
    - with a document as a Binary
    - or, when implementing the ITI-65 FHIR Document Publish option, a FHIR Document Bundle
  - may create/update one or more Folder type List that is either minimal, comprehensive, or unContained
  - may create/update/read one Patient

Usages:

- Examples for this Profile: Bundle/ex-ProvideDocumentBundle-addToFolder, Bundle/ex-comprehensiveProvideDocumentBundleComplete, Bundle/ex-comprehensiveProvideDocumentBundleDocument, Bundle/ex-comprehensiveProvideDocumentBundleMultiple... Show 2 more, Bundle/ex-comprehensiveProvideDocumentBundleReplace and Bundle/ex-comprehensiveProvideDocumentBundleSimple

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | UnContainedComprehensiveProvideDocumentBundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
type | Σ C | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
Slices for entry | Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Closed by profile:resource, value:request.method 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource | Σ C | 0..1 | Resource | A resource in the bundle
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:SubmissionSet | Σ C | 1..1 | BackboneElement | the SubmissionSet 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | SubmissionSetComprehensive | A list is a curated collection of resources
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:DocumentRefs | Σ C | 0..* | BackboneElement | the DocumentReference resources 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | ComprehensiveDocumentReference | A reference to a document
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:UpdateDocumentRefs | Σ C | 0..* | BackboneElement | the superseded DocumentReference resources 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | PatchParameters | Operation Request or Response
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PATCH
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:Documents | Σ C | 0..* | BackboneElement | the Documents 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Binary | Pure binary content defined by a format other than FHIR
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:FhirDocuments | Σ C | 0..* | BackboneElement | the FHIR-FhirDocuments 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Bundle | Contains a collection of resources
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:Folders | Σ C | 0..* | BackboneElement | Folders 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Folder | A list is a curated collection of resources
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Folder List Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:Patient | Σ C | 0..1 | BackboneElement | the Patient 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Patient | Information about an individual or animal receiving health care services
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Patient Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.type | Base | required | Bundle Type | 📍5.0.0 | FHIR Std.
Bundle.entry.request.​method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:SubmissionSet.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:DocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:UpdateDocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Documents.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:FhirDocuments.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Folders.​request.method | Base | required | MHD Folder List Types ValueSet | 📦5.0.1-current | This IG
Bundle.entry:Patient.​request.method | Base | required | MHD Patient Types ValueSet | 📦5.0.1-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `(type = 'searchset') or entry.search.empty()`
bdl-5 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | fullUrl cannot be a version specific reference | `fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13 | error | Bundle | A subscription-notification must have a SubscriptionStatus as the first resource | `type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14 | error | Bundle | entry.request.method PATCH not allowed for history | `type = 'history' implies entry.request.method != 'PATCH'`
bdl-15 | error | Bundle | Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated | `type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16 | error | Bundle | Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'. | `issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17 | error | Bundle | Use and meaning of issues for documents has not been validated because the content will not be rendered in the document. | `type = 'document' implies issues.empty()`
bdl-18 | error | Bundle | Self link is required for searchsets. | `type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a | error | Bundle | For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements | `type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b | error | Bundle | For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH | `type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3c | error | Bundle | For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH | `type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3d | error | Bundle | For collections of type transaction-response or batch-response, all entries must contain response elements | `type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from UnContainedComprehensiveProvideDocumentBundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle |  | 0..* | UnContainedComprehensiveProvideDocumentBundle | Contains a collection of resources
Slices for entry |  |  |  | Content/Rules for all slices
entry:SubmissionSet |  | 1..1 | BackboneElement | the SubmissionSet
resource |  | 1..1 | SubmissionSetComprehensive | A list is a curated collection of resources
entry:DocumentRefs |  | 0..* | BackboneElement | the DocumentReference resources
resource |  | 1..1 | ComprehensiveDocumentReference | A reference to a document
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | UnContainedComprehensiveProvideDocumentBundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
identifier | Σ C | 0..1 | Identifier | Persistent identifier for the bundle
type | Σ C | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
timestamp | Σ C | 0..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ C | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relation | Σ C | 1..1 | code | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url | Σ C | 1..1 | uri | Reference details for the link
Slices for entry | Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Closed by profile:resource, value:request.method 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource | Σ C | 0..1 | Resource | A resource in the bundle
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:SubmissionSet | Σ C | 1..1 | BackboneElement | the SubmissionSet 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | SubmissionSetComprehensive | A list is a curated collection of resources
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:DocumentRefs | Σ C | 0..* | BackboneElement | the DocumentReference resources 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | ComprehensiveDocumentReference | A reference to a document
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:UpdateDocumentRefs | Σ C | 0..* | BackboneElement | the superseded DocumentReference resources 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | PatchParameters | Operation Request or Response
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PATCH
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:Documents | Σ C | 0..* | BackboneElement | the Documents 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Binary | Pure binary content defined by a format other than FHIR
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:FhirDocuments | Σ C | 0..* | BackboneElement | the FHIR-FhirDocuments 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Bundle | Contains a collection of resources
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:Folders | Σ C | 0..* | BackboneElement | Folders 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Folder | A list is a curated collection of resources
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Folder List Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:Patient | Σ C | 0..1 | BackboneElement | the Patient 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Patient | Information about an individual or animal receiving health care services
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Patient Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
signature | Σ | 0..1 | Signature | Digital Signature
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.meta.security | Base | extensible | All Security Labels | 📍5.0.0 | FHIR Std.
Bundle.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std.
Bundle.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Bundle.type | Base | required | Bundle Type | 📍5.0.0 | FHIR Std.
Bundle.link.relation | Base | required | Link Relation Types | 📍5.0.0 | FHIR Std.
Bundle.entry.search.​mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry.request.​method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:SubmissionSet.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:SubmissionSet.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:DocumentRefs.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:DocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:UpdateDocumentRefs.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:UpdateDocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Documents.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:Documents.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:FhirDocuments.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:FhirDocuments.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Folders.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:Folders.​request.method | Base | required | MHD Folder List Types ValueSet | 📦5.0.1-current | This IG
Bundle.entry:Patient.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:Patient.​request.method | Base | required | MHD Patient Types ValueSet | 📦5.0.1-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `(type = 'searchset') or entry.search.empty()`
bdl-5 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | fullUrl cannot be a version specific reference | `fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13 | error | Bundle | A subscription-notification must have a SubscriptionStatus as the first resource | `type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14 | error | Bundle | entry.request.method PATCH not allowed for history | `type = 'history' implies entry.request.method != 'PATCH'`
bdl-15 | error | Bundle | Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated | `type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16 | error | Bundle | Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'. | `issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17 | error | Bundle | Use and meaning of issues for documents has not been validated because the content will not be rendered in the document. | `type = 'document' implies issues.empty()`
bdl-18 | error | Bundle | Self link is required for searchsets. | `type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a | error | Bundle | For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements | `type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b | error | Bundle | For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH | `type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3c | error | Bundle | For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH | `type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3d | error | Bundle | For collections of type transaction-response or batch-response, all entries must contain response elements | `type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from UnContainedComprehensiveProvideDocumentBundle

Summary

Structures

This structure refers to these other structures:

- MHD SubmissionSet Comprehensive (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet)
- MHD DocumentReference Comprehensive (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | UnContainedComprehensiveProvideDocumentBundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
type | Σ C | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
Slices for entry | Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Closed by profile:resource, value:request.method 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource | Σ C | 0..1 | Resource | A resource in the bundle
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:SubmissionSet | Σ C | 1..1 | BackboneElement | the SubmissionSet 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | SubmissionSetComprehensive | A list is a curated collection of resources
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:DocumentRefs | Σ C | 0..* | BackboneElement | the DocumentReference resources 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | ComprehensiveDocumentReference | A reference to a document
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:UpdateDocumentRefs | Σ C | 0..* | BackboneElement | the superseded DocumentReference resources 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | PatchParameters | Operation Request or Response
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PATCH
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:Documents | Σ C | 0..* | BackboneElement | the Documents 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Binary | Pure binary content defined by a format other than FHIR
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:FhirDocuments | Σ C | 0..* | BackboneElement | the FHIR-FhirDocuments 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Bundle | Contains a collection of resources
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:Folders | Σ C | 0..* | BackboneElement | Folders 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Folder | A list is a curated collection of resources
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Folder List Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
entry:Patient | Σ C | 0..1 | BackboneElement | the Patient 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
fullUrl | Σ C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Patient | Information about an individual or animal receiving health care services
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Patient Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.type | Base | required | Bundle Type | 📍5.0.0 | FHIR Std.
Bundle.entry.request.​method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:SubmissionSet.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:DocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:UpdateDocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Documents.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:FhirDocuments.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Folders.​request.method | Base | required | MHD Folder List Types ValueSet | 📦5.0.1-current | This IG
Bundle.entry:Patient.​request.method | Base | required | MHD Patient Types ValueSet | 📦5.0.1-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `(type = 'searchset') or entry.search.empty()`
bdl-5 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | fullUrl cannot be a version specific reference | `fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13 | error | Bundle | A subscription-notification must have a SubscriptionStatus as the first resource | `type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14 | error | Bundle | entry.request.method PATCH not allowed for history | `type = 'history' implies entry.request.method != 'PATCH'`
bdl-15 | error | Bundle | Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated | `type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16 | error | Bundle | Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'. | `issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17 | error | Bundle | Use and meaning of issues for documents has not been validated because the content will not be rendered in the document. | `type = 'document' implies issues.empty()`
bdl-18 | error | Bundle | Self link is required for searchsets. | `type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a | error | Bundle | For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements | `type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b | error | Bundle | For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH | `type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3c | error | Bundle | For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH | `type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3d | error | Bundle | For collections of type transaction-response or batch-response, all entries must contain response elements | `type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from UnContainedComprehensiveProvideDocumentBundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle |  | 0..* | UnContainedComprehensiveProvideDocumentBundle | Contains a collection of resources
Slices for entry |  |  |  | Content/Rules for all slices
entry:SubmissionSet |  | 1..1 | BackboneElement | the SubmissionSet
resource |  | 1..1 | SubmissionSetComprehensive | A list is a curated collection of resources
entry:DocumentRefs |  | 0..* | BackboneElement | the DocumentReference resources
resource |  | 1..1 | ComprehensiveDocumentReference | A reference to a document
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | UnContainedComprehensiveProvideDocumentBundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
identifier | Σ C | 0..1 | Identifier | Persistent identifier for the bundle
type | Σ C | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: transaction
timestamp | Σ C | 0..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ C | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relation | Σ C | 1..1 | code | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Binding: LinkRelationTypes (required)
url | Σ C | 1..1 | uri | Reference details for the link
Slices for entry | Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Closed by profile:resource, value:request.method 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource | Σ C | 0..1 | Resource | A resource in the bundle
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:SubmissionSet | Σ C | 1..1 | BackboneElement | the SubmissionSet 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | SubmissionSetComprehensive | A list is a curated collection of resources
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:DocumentRefs | Σ C | 0..* | BackboneElement | the DocumentReference resources 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | ComprehensiveDocumentReference | A reference to a document
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:UpdateDocumentRefs | Σ C | 0..* | BackboneElement | the superseded DocumentReference resources 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | PatchParameters | Operation Request or Response
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: PATCH
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:Documents | Σ C | 0..* | BackboneElement | the Documents 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Binary | Pure binary content defined by a format other than FHIR
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:FhirDocuments | Σ C | 0..* | BackboneElement | the FHIR-FhirDocuments 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Bundle | Contains a collection of resources
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. Required Pattern: POST
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:Folders | Σ C | 0..* | BackboneElement | Folders 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Folder | A list is a curated collection of resources
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 1..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Folder List Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:Patient | Σ C | 0..1 | BackboneElement | the Patient 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 C | 0..1 | uri | URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource |  | 1..1 | Patient | Information about an individual or animal receiving health care services
search | Σ C | 0..1 | BackboneElement | Search related information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
mode | Σ | 0..1 | code | match | include - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ C | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: MHD Patient Types ValueSet (required)
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache validation
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
signature | Σ | 0..1 | Signature | Digital Signature
issues | Σ C | 0..1 | OperationOutcome(5.0.0) | Issues with the Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.meta.security | Base | extensible | All Security Labels | 📍5.0.0 | FHIR Std.
Bundle.meta.tag | Base | example | Common Tags | 📍5.0.0 | FHIR Std.
Bundle.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Bundle.type | Base | required | Bundle Type | 📍5.0.0 | FHIR Std.
Bundle.link.relation | Base | required | Link Relation Types | 📍5.0.0 | FHIR Std.
Bundle.entry.search.​mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry.request.​method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:SubmissionSet.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:SubmissionSet.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:DocumentRefs.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:DocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:UpdateDocumentRefs.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:UpdateDocumentRefs.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Documents.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:Documents.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:FhirDocuments.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:FhirDocuments.​request.method | Base | required | H T T P Verb | 📍5.0.0 | FHIR Std.
Bundle.entry:Folders.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:Folders.​request.method | Base | required | MHD Folder List Types ValueSet | 📦5.0.1-current | This IG
Bundle.entry:Patient.​search.mode | Base | required | Search Entry Mode | 📍5.0.0 | FHIR Std.
Bundle.entry:Patient.​request.method | Base | required | MHD Patient Types ValueSet | 📦5.0.1-current | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `(type = 'searchset') or entry.search.empty()`
bdl-5 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:SubmissionSet, Bundle.entry:DocumentRefs, Bundle.entry:UpdateDocumentRefs, Bundle.entry:Documents, Bundle.entry:FhirDocuments, Bundle.entry:Folders, Bundle.entry:Patient | fullUrl cannot be a version specific reference | `fullUrl.exists() implies fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
bdl-13 | error | Bundle | A subscription-notification must have a SubscriptionStatus as the first resource | `type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)`
bdl-14 | error | Bundle | entry.request.method PATCH not allowed for history | `type = 'history' implies entry.request.method != 'PATCH'`
bdl-15 | error | Bundle | Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated | `type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')`
bdl-16 | error | Bundle | Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'. | `issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')`
bdl-17 | error | Bundle | Use and meaning of issues for documents has not been validated because the content will not be rendered in the document. | `type = 'document' implies issues.empty()`
bdl-18 | error | Bundle | Self link is required for searchsets. | `type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()`
bdl-3a | error | Bundle | For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements | `type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())`
bdl-3b | error | Bundle | For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH | `type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3c | error | Bundle | For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH | `type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))`
bdl-3d | error | Bundle | For collections of type transaction-response or batch-response, all entries must contain response elements | `type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from UnContainedComprehensiveProvideDocumentBundle

Summary

Structures

This structure refers to these other structures:

- MHD SubmissionSet Comprehensive (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet)
- MHD DocumentReference Comprehensive (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference)

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