International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/fhir-ips/ and changes regularly. See the Directory of published versions

Resource Profile: BundleUvIps - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 2

Definitions for the Bundle-uv-ips resource profile.

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

0. Bundle
Definition

International Patient Summary Bundle. A container for a collection of resources in the patient summary document.


A container for a collection of resources.

ShortInternational Patient Summary BundleContains a collection of resources
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
bdl-ips-1: An IPS document must have no additional Composition (including Composition subclass) resources besides the first. (entry.tail().where(resource is Composition).empty())
bdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
2. Bundle.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Bundle.identifier
Definition

A persistent identifier for the bundle that won't change as a bundle is copied from server to server.

ShortPersistent identifier for the bundle
Comments

Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Obligations
    ObligationsActor
    SHALL:able-to-populateCreator (IPS)
    SHALL:handleConsumer (IPS)
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Bundle.type
    Definition

    Indicates the purpose of this bundle - how it is intended to be used.

    Shortdocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
    Comments

    It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.

    Control1..1
    BindingThe codes SHALL be taken from BundleTypehttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1
    (required to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1)

    Indicates the purpose of a bundle - how it is intended to be used.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Fixed Valuedocument
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Bundle.timestamp
    Definition

    The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

    ShortWhen the bundle was assembled
    Comments

    For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.

    Usage:

    • document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time
    • message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message
    • history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates
    • searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query
    • transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning

    The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.

    Control10..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Obligations
      ObligationsActor
      SHALL:able-to-populateCreator (IPS)
      SHALL:handleConsumer (IPS)
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Bundle.entry
      Definition

      An entry resource included in the patient summary document bundle resource.


      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

      ShortEntry resource in the patient summary bundleEntry in the bundle - will have a resource or information
      Comments

      Must contain the IPS Composition as the first entry (only a single Composition resource instance may be included) and a Patient resource. Additional constraints are specified in the IPS Composition profile.

      Control20..*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
      SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ resource
      • profile @ resource
      • 12. Bundle.entry.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        14. Bundle.entry.fullUrl
        Definition

        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
        • Results from operations might involve resources that are not identified.
        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
        Comments

        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

        Control10..1
        Typeuri
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. Bundle.entry.search
        Definition

        Information about the search process that lead to the creation of this entry.

        ShortSearch related information
        Control0..01
        This element is affected by the following invariants: bdl-2
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        19. Bundle.entry.request
        Definition

        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

        ShortAdditional execution information (transaction/batch/history)
        Control0..01
        This element is affected by the following invariants: bdl-3
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. Bundle.entry.response
        Definition

        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

        ShortResults of execution (transaction/batch/history)
        Control0..01
        This element is affected by the following invariants: bdl-4
        TypeBackboneElement
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. Bundle.entry:composition
        Slice Namecomposition
        Definition

        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

        ShortEntry in the bundle - will have a resource or information
        Control10..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Obligations
          ObligationsActor
          SHALL:able-to-populateCreator (IPS)
          SHALL:handleConsumer (IPS)
          SHOULD:displayConsumer (IPS)
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          30. Bundle.entry:composition.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          32. Bundle.entry:composition.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          34. Bundle.entry:composition.resource
          Definition

          International Patient Summary composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortInternational Patient Summary compositionA resource in the bundle
          Comments

          While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

          Control10..1
          TypeCompositionResource(Composition (IPS))
          Is Modifierfalse
          Summaryfalse
          36. Bundle.entry:composition.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          39. Bundle.entry:composition.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Bundle.entry:composition.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. Bundle.entry:patient
          Slice Namepatient
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          50. Bundle.entry:patient.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          52. Bundle.entry:patient.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Bundle.entry:patient.resource
          Definition

          Demographics and other administrative information about an individual or animal receiving care or other health-related services.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortInformation about an individual or animal receiving health care servicesA resource in the bundle
          Control10..1
          TypePatientResource(Patient (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesSubjectOfCare Client Resident
          56. Bundle.entry:patient.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          59. Bundle.entry:patient.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. Bundle.entry:patient.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. Bundle.entry:allergyintolerance
          Slice Nameallergyintolerance
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          70. Bundle.entry:allergyintolerance.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          72. Bundle.entry:allergyintolerance.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          74. Bundle.entry:allergyintolerance.resource
          Definition

          Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortAllergy or Intolerance (generally: Risk of adverse reaction to a substance)A resource in the bundle
          Comments

          Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.

          Control10..1
          TypeAllergyIntoleranceResource(AllergyIntolerance (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesAllergy, Intolerance, Adverse Reaction
          76. Bundle.entry:allergyintolerance.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          79. Bundle.entry:allergyintolerance.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. Bundle.entry:allergyintolerance.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. Bundle.entry:careplan
          Slice Namecareplan
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          90. Bundle.entry:careplan.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          92. Bundle.entry:careplan.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. Bundle.entry:careplan.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeCarePlanResource
          Is Modifierfalse
          Summarytrue
          96. Bundle.entry:careplan.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          99. Bundle.entry:careplan.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. Bundle.entry:careplan.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. Bundle.entry:clinicalimpression
          Slice Nameclinicalimpression
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          110. Bundle.entry:clinicalimpression.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          112. Bundle.entry:clinicalimpression.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. Bundle.entry:clinicalimpression.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeClinicalImpressionResource
          Is Modifierfalse
          Summarytrue
          116. Bundle.entry:clinicalimpression.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          119. Bundle.entry:clinicalimpression.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          124. Bundle.entry:clinicalimpression.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          128. Bundle.entry:condition
          Slice Namecondition
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          130. Bundle.entry:condition.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          132. Bundle.entry:condition.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. Bundle.entry:condition.resource
          Definition

          A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortDocumentation of a health problem of the patientA resource in the bundle
          Control10..1
          TypeConditionResource(Condition (IPS))
          Is Modifierfalse
          Summaryfalse
          136. Bundle.entry:condition.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          139. Bundle.entry:condition.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          144. Bundle.entry:condition.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          148. Bundle.entry:consent
          Slice Nameconsent
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          150. Bundle.entry:consent.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          152. Bundle.entry:consent.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          154. Bundle.entry:consent.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeConsentResource
          Is Modifierfalse
          Summarytrue
          156. Bundle.entry:consent.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          159. Bundle.entry:consent.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          164. Bundle.entry:consent.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          168. Bundle.entry:device
          Slice Namedevice
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          170. Bundle.entry:device.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          172. Bundle.entry:device.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          174. Bundle.entry:device.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeDeviceResource
          Is Modifierfalse
          Summarytrue
          176. Bundle.entry:device.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          179. Bundle.entry:device.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          184. Bundle.entry:device.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          188. Bundle.entry:deviceusestatement
          Slice Namedeviceusestatement
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          190. Bundle.entry:deviceusestatement.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          192. Bundle.entry:deviceusestatement.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          194. Bundle.entry:deviceusestatement.resource
          Definition

          A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortRecord of use of a deviceA resource in the bundle
          Control10..1
          TypeDeviceUseStatementResource(DeviceUseStatement (IPS))
          Is Modifierfalse
          Summaryfalse
          196. Bundle.entry:deviceusestatement.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          199. Bundle.entry:deviceusestatement.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          204. Bundle.entry:deviceusestatement.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          208. Bundle.entry:diagnosticreport
          Slice Namediagnosticreport
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          210. Bundle.entry:diagnosticreport.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          212. Bundle.entry:diagnosticreport.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          214. Bundle.entry:diagnosticreport.resource
          Definition

          The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reportsA resource in the bundle
          Comments

          This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

          Control10..1
          TypeDiagnosticReportResource(DiagnosticReport (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesReport, Test, Result, Results, Labs, Laboratory
          216. Bundle.entry:diagnosticreport.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          219. Bundle.entry:diagnosticreport.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          224. Bundle.entry:diagnosticreport.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          228. Bundle.entry:documentreference
          Slice Namedocumentreference
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          230. Bundle.entry:documentreference.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          232. Bundle.entry:documentreference.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          234. Bundle.entry:documentreference.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeDocumentReferenceResource
          Is Modifierfalse
          Summarytrue
          236. Bundle.entry:documentreference.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          239. Bundle.entry:documentreference.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          244. Bundle.entry:documentreference.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          248. Bundle.entry:flag
          Slice Nameflag
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          250. Bundle.entry:flag.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          252. Bundle.entry:flag.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          254. Bundle.entry:flag.resource
          Definition

          Prospective warnings of potential issues when providing care to the patient.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortKey information to flag to healthcare providersA resource in the bundle
          Control10..1
          TypeFlagResource(Flag - Alert (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesBarriers to Care, Alert, Warning
          256. Bundle.entry:flag.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          259. Bundle.entry:flag.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          264. Bundle.entry:flag.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          268. Bundle.entry:imagingstudy
          Slice Nameimagingstudy
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          270. Bundle.entry:imagingstudy.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          272. Bundle.entry:imagingstudy.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          274. Bundle.entry:imagingstudy.resource
          Definition

          Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA set of images produced in single study (one or more series of references images)A resource in the bundle
          Control10..1
          TypeImagingStudyResource(ImagingStudy (IPS))
          Is Modifierfalse
          Summaryfalse
          276. Bundle.entry:imagingstudy.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          279. Bundle.entry:imagingstudy.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          284. Bundle.entry:imagingstudy.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          288. Bundle.entry:immunization
          Slice Nameimmunization
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          290. Bundle.entry:immunization.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          292. Bundle.entry:immunization.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          294. Bundle.entry:immunization.resource
          Definition

          Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortImmunization event informationA resource in the bundle
          Control10..1
          TypeImmunizationResource(Immunization (IPS))
          Is Modifierfalse
          Summaryfalse
          296. Bundle.entry:immunization.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          299. Bundle.entry:immunization.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          304. Bundle.entry:immunization.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          308. Bundle.entry:immunizationrecommendation
          Slice Nameimmunizationrecommendation
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          310. Bundle.entry:immunizationrecommendation.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          312. Bundle.entry:immunizationrecommendation.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          314. Bundle.entry:immunizationrecommendation.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeImmunizationRecommendationResource
          Is Modifierfalse
          Summarytrue
          316. Bundle.entry:immunizationrecommendation.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          319. Bundle.entry:immunizationrecommendation.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          324. Bundle.entry:immunizationrecommendation.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          328. Bundle.entry:medication
          Slice Namemedication
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          330. Bundle.entry:medication.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          332. Bundle.entry:medication.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          334. Bundle.entry:medication.resource
          Definition

          This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortDefinition of a MedicationA resource in the bundle
          Comments

          IPS Medication

          Control10..1
          TypeMedicationResource(Medication (IPS))
          Is Modifierfalse
          Summaryfalse
          336. Bundle.entry:medication.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          339. Bundle.entry:medication.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          344. Bundle.entry:medication.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          348. Bundle.entry:medicationrequest
          Slice Namemedicationrequest
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          350. Bundle.entry:medicationrequest.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          352. Bundle.entry:medicationrequest.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          354. Bundle.entry:medicationrequest.resource
          Definition

          An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortOrdering of medication for patient or groupA resource in the bundle
          Control10..1
          TypeMedicationRequestResource(MedicationRequest (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesPrescription, Order
          356. Bundle.entry:medicationrequest.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          359. Bundle.entry:medicationrequest.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          364. Bundle.entry:medicationrequest.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          368. Bundle.entry:medicationstatement
          Slice Namemedicationstatement
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          370. Bundle.entry:medicationstatement.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          372. Bundle.entry:medicationstatement.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          374. Bundle.entry:medicationstatement.resource
          Definition

          A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

          The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortRecord of medication being taken by a patientA resource in the bundle
          Comments

          When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.

          Control10..1
          TypeMedicationStatementResource(MedicationStatement (IPS))
          Is Modifierfalse
          Summaryfalse
          376. Bundle.entry:medicationstatement.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          379. Bundle.entry:medicationstatement.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          384. Bundle.entry:medicationstatement.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          388. Bundle.entry:practitioner
          Slice Namepractitioner
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          390. Bundle.entry:practitioner.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          392. Bundle.entry:practitioner.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          394. Bundle.entry:practitioner.resource
          Definition

          A person who is directly or indirectly involved in the provisioning of healthcare.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA person with a formal responsibility in the provisioning of healthcare or related servicesA resource in the bundle
          Control10..1
          TypePractitionerResource(Practitioner (IPS))
          Is Modifierfalse
          Summaryfalse
          396. Bundle.entry:practitioner.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          399. Bundle.entry:practitioner.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          404. Bundle.entry:practitioner.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          408. Bundle.entry:practitionerrole
          Slice Namepractitionerrole
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          410. Bundle.entry:practitionerrole.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          412. Bundle.entry:practitionerrole.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          414. Bundle.entry:practitionerrole.resource
          Definition

          A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortRoles/organizations the practitioner is associated withA resource in the bundle
          Control10..1
          TypePractitionerRoleResource(PractitionerRole (IPS))
          Is Modifierfalse
          Summaryfalse
          416. Bundle.entry:practitionerrole.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          419. Bundle.entry:practitionerrole.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          424. Bundle.entry:practitionerrole.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          428. Bundle.entry:procedure
          Slice Nameprocedure
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          430. Bundle.entry:procedure.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          432. Bundle.entry:procedure.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          434. Bundle.entry:procedure.resource
          Definition

          An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortAn action that is being or was performed on a patientA resource in the bundle
          Control10..1
          TypeProcedureResource(Procedure (IPS))
          Is Modifierfalse
          Summaryfalse
          436. Bundle.entry:procedure.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          439. Bundle.entry:procedure.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          444. Bundle.entry:procedure.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          448. Bundle.entry:observation-pregnancy-edd
          Slice Nameobservation-pregnancy-edd
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          450. Bundle.entry:observation-pregnancy-edd.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          452. Bundle.entry:observation-pregnancy-edd.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          454. Bundle.entry:observation-pregnancy-edd.resource
          Definition

          Measurements and simple assertions made about a patient, device or other subject.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortMeasurements and simple assertionsA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Observation Pregnancy - Expected Delivery Date (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          456. Bundle.entry:observation-pregnancy-edd.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          459. Bundle.entry:observation-pregnancy-edd.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          464. Bundle.entry:observation-pregnancy-edd.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          468. Bundle.entry:observation-pregnancy-outcome
          Slice Nameobservation-pregnancy-outcome
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          470. Bundle.entry:observation-pregnancy-outcome.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          472. Bundle.entry:observation-pregnancy-outcome.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          474. Bundle.entry:observation-pregnancy-outcome.resource
          Definition

          Measurements and simple assertions made about a patient, device or other subject.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortMeasurements and simple assertionsA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Observation Pregnancy - Outcome (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          476. Bundle.entry:observation-pregnancy-outcome.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          479. Bundle.entry:observation-pregnancy-outcome.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          484. Bundle.entry:observation-pregnancy-outcome.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          488. Bundle.entry:observation-pregnancy-status
          Slice Nameobservation-pregnancy-status
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          490. Bundle.entry:observation-pregnancy-status.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          492. Bundle.entry:observation-pregnancy-status.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          494. Bundle.entry:observation-pregnancy-status.resource
          Definition

          Measurements and simple assertions made about a patient, device or other subject.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortMeasurements and simple assertionsA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Observation Pregnancy - Status (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          496. Bundle.entry:observation-pregnancy-status.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          499. Bundle.entry:observation-pregnancy-status.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          504. Bundle.entry:observation-pregnancy-status.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          508. Bundle.entry:observation-alcohol-use
          Slice Nameobservation-alcohol-use
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          510. Bundle.entry:observation-alcohol-use.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          512. Bundle.entry:observation-alcohol-use.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          514. Bundle.entry:observation-alcohol-use.resource
          Definition

          Measurements and simple assertions made about a patient, device or other subject.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortMeasurements and simple assertionsA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Observation Social History - Alcohol Use (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          516. Bundle.entry:observation-alcohol-use.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          519. Bundle.entry:observation-alcohol-use.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          524. Bundle.entry:observation-alcohol-use.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          528. Bundle.entry:observation-tobacco-use
          Slice Nameobservation-tobacco-use
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          530. Bundle.entry:observation-tobacco-use.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          532. Bundle.entry:observation-tobacco-use.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          534. Bundle.entry:observation-tobacco-use.resource
          Definition

          Measurements and simple assertions made about a patient, device or other subject.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortMeasurements and simple assertionsA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Observation Social History - Tobacco Use (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          536. Bundle.entry:observation-tobacco-use.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          539. Bundle.entry:observation-tobacco-use.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          544. Bundle.entry:observation-tobacco-use.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          548. Bundle.entry:observation-results-laboratory-pathology
          Slice Nameobservation-results-laboratory-pathology
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          550. Bundle.entry:observation-results-laboratory-pathology.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          552. Bundle.entry:observation-results-laboratory-pathology.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          554. Bundle.entry:observation-results-laboratory-pathology.resource
          Definition

          This observation may represent the result of a simple laboratory or pathology test such as hematocrit, or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, or a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and references the atomic results of the study as "has-member" child observations


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortLaboratory (including Pathology) result for a simple test or for a panel/studyA resource in the bundle
          Comments

          Represents either a lab simple observation or the group of observations produced by a laboratory study.

          Control10..1
          TypeObservationResource(Observation Results - Laboratory/Pathology (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          556. Bundle.entry:observation-results-laboratory-pathology.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          559. Bundle.entry:observation-results-laboratory-pathology.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          564. Bundle.entry:observation-results-laboratory-pathology.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          568. Bundle.entry:observation-results-radiology
          Slice Nameobservation-results-radiology
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          570. Bundle.entry:observation-results-radiology.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          572. Bundle.entry:observation-results-radiology.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          574. Bundle.entry:observation-results-radiology.resource
          Definition

          Measurements and simple assertions made about a patient, device or other subject.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortMeasurements and simple assertionsA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Observation Results - Radiology (IPS))
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          576. Bundle.entry:observation-results-radiology.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          579. Bundle.entry:observation-results-radiology.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          584. Bundle.entry:observation-results-radiology.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          588. Bundle.entry:observation-vital-signs
          Slice Nameobservation-vital-signs
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          590. Bundle.entry:observation-vital-signs.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          592. Bundle.entry:observation-vital-signs.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          594. Bundle.entry:observation-vital-signs.resource
          Definition

          The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortFHIR Vital Signs ProfileA resource in the bundle
          Comments

          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

          Control10..1
          TypeObservationResource(Vital Signs Profile)
          Is Modifierfalse
          Summaryfalse
          Alternate NamesVital Signs, Measurement, Results, Tests
          596. Bundle.entry:observation-vital-signs.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          599. Bundle.entry:observation-vital-signs.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          604. Bundle.entry:observation-vital-signs.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          608. Bundle.entry:organization
          Slice Nameorganization
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          610. Bundle.entry:organization.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          612. Bundle.entry:organization.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          614. Bundle.entry:organization.resource
          Definition

          A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA grouping of people or organizations with a common purposeA resource in the bundle
          Control10..1
          TypeOrganizationResource(Organization (IPS))
          Is Modifierfalse
          Summaryfalse
          616. Bundle.entry:organization.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          619. Bundle.entry:organization.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          624. Bundle.entry:organization.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          628. Bundle.entry:specimen
          Slice Namespecimen
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          630. Bundle.entry:specimen.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          632. Bundle.entry:specimen.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          634. Bundle.entry:specimen.resource
          Definition

          A sample to be used for analysis.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortSample for analysisA resource in the bundle
          Control10..1
          TypeSpecimenResource(Specimen (IPS))
          Is Modifierfalse
          Summaryfalse
          636. Bundle.entry:specimen.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          639. Bundle.entry:specimen.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          644. Bundle.entry:specimen.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

          0. Bundle
          Definition

          International Patient Summary Bundle. A container for a collection of resources in the patient summary document.

          ShortInternational Patient Summary Bundle
          Invariantsbdl-ips-1: An IPS document must have no additional Composition (including Composition subclass) resources besides the first. (entry.tail().where(resource is Composition).empty())
          2. Bundle.identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..?
          Must Supporttrue
          Obligations
            ObligationsActor
            SHALL:able-to-populateCreator (IPS)
            SHALL:handleConsumer (IPS)
            4. Bundle.type
            Fixed Valuedocument
            6. Bundle.timestamp
            Control1..?
            Must Supporttrue
            Obligations
              ObligationsActor
              SHALL:able-to-populateCreator (IPS)
              SHALL:handleConsumer (IPS)
              8. Bundle.entry
              Definition

              An entry resource included in the patient summary document bundle resource.

              ShortEntry resource in the patient summary bundle
              Comments

              Must contain the IPS Composition as the first entry (only a single Composition resource instance may be included) and a Patient resource. Additional constraints are specified in the IPS Composition profile.

              Control2..?
              SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • type @ resource
              • profile @ resource
              • 10. Bundle.entry.fullUrl
                Control1..?
                12. Bundle.entry.search
                Control0..0
                14. Bundle.entry.request
                Control0..0
                16. Bundle.entry.response
                Control0..0
                18. Bundle.entry:composition
                Slice Namecomposition
                Control1..1
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:able-to-populateCreator (IPS)
                  SHALL:handleConsumer (IPS)
                  SHOULD:displayConsumer (IPS)
                  20. Bundle.entry:composition.resource
                  Control1..?
                  TypeComposition(Composition (IPS))
                  22. Bundle.entry:patient
                  Slice Namepatient
                  Control1..1
                  24. Bundle.entry:patient.resource
                  Control1..?
                  TypePatient(Patient (IPS))
                  26. Bundle.entry:allergyintolerance
                  Slice Nameallergyintolerance
                  Control0..*
                  28. Bundle.entry:allergyintolerance.resource
                  Control1..?
                  TypeAllergyIntolerance(AllergyIntolerance (IPS))
                  30. Bundle.entry:careplan
                  Slice Namecareplan
                  Control0..*
                  32. Bundle.entry:careplan.resource
                  Control1..?
                  TypeCarePlan
                  34. Bundle.entry:clinicalimpression
                  Slice Nameclinicalimpression
                  Control0..*
                  36. Bundle.entry:clinicalimpression.resource
                  Control1..?
                  TypeClinicalImpression
                  38. Bundle.entry:condition
                  Slice Namecondition
                  Control0..*
                  40. Bundle.entry:condition.resource
                  Control1..?
                  TypeCondition(Condition (IPS))
                  42. Bundle.entry:consent
                  Slice Nameconsent
                  Control0..*
                  44. Bundle.entry:consent.resource
                  Control1..?
                  TypeConsent
                  46. Bundle.entry:device
                  Slice Namedevice
                  Control0..*
                  48. Bundle.entry:device.resource
                  Control1..?
                  TypeDevice
                  50. Bundle.entry:deviceusestatement
                  Slice Namedeviceusestatement
                  Control0..*
                  52. Bundle.entry:deviceusestatement.resource
                  Control1..?
                  TypeDeviceUseStatement(DeviceUseStatement (IPS))
                  54. Bundle.entry:diagnosticreport
                  Slice Namediagnosticreport
                  Control0..*
                  56. Bundle.entry:diagnosticreport.resource
                  Control1..?
                  TypeDiagnosticReport(DiagnosticReport (IPS))
                  58. Bundle.entry:documentreference
                  Slice Namedocumentreference
                  Control0..*
                  60. Bundle.entry:documentreference.resource
                  Control1..?
                  TypeDocumentReference
                  62. Bundle.entry:flag
                  Slice Nameflag
                  Control0..*
                  64. Bundle.entry:flag.resource
                  Control1..?
                  TypeFlag(Flag - Alert (IPS))
                  66. Bundle.entry:imagingstudy
                  Slice Nameimagingstudy
                  Control0..*
                  68. Bundle.entry:imagingstudy.resource
                  Control1..?
                  TypeImagingStudy(ImagingStudy (IPS))
                  70. Bundle.entry:immunization
                  Slice Nameimmunization
                  Control0..*
                  72. Bundle.entry:immunization.resource
                  Control1..?
                  TypeImmunization(Immunization (IPS))
                  74. Bundle.entry:immunizationrecommendation
                  Slice Nameimmunizationrecommendation
                  Control0..*
                  76. Bundle.entry:immunizationrecommendation.resource
                  Control1..?
                  TypeImmunizationRecommendation
                  78. Bundle.entry:medication
                  Slice Namemedication
                  Control0..*
                  80. Bundle.entry:medication.resource
                  Control1..?
                  TypeMedication(Medication (IPS))
                  82. Bundle.entry:medicationrequest
                  Slice Namemedicationrequest
                  Control0..*
                  84. Bundle.entry:medicationrequest.resource
                  Control1..?
                  TypeMedicationRequest(MedicationRequest (IPS))
                  86. Bundle.entry:medicationstatement
                  Slice Namemedicationstatement
                  Control0..*
                  88. Bundle.entry:medicationstatement.resource
                  Control1..?
                  TypeMedicationStatement(MedicationStatement (IPS))
                  90. Bundle.entry:practitioner
                  Slice Namepractitioner
                  Control0..*
                  92. Bundle.entry:practitioner.resource
                  Control1..?
                  TypePractitioner(Practitioner (IPS))
                  94. Bundle.entry:practitionerrole
                  Slice Namepractitionerrole
                  Control0..*
                  96. Bundle.entry:practitionerrole.resource
                  Control1..?
                  TypePractitionerRole(PractitionerRole (IPS))
                  98. Bundle.entry:procedure
                  Slice Nameprocedure
                  Control0..*
                  100. Bundle.entry:procedure.resource
                  Control1..?
                  TypeProcedure(Procedure (IPS))
                  102. Bundle.entry:observation-pregnancy-edd
                  Slice Nameobservation-pregnancy-edd
                  Control0..*
                  104. Bundle.entry:observation-pregnancy-edd.resource
                  Control1..?
                  TypeObservation(Observation Pregnancy - Expected Delivery Date (IPS))
                  106. Bundle.entry:observation-pregnancy-outcome
                  Slice Nameobservation-pregnancy-outcome
                  Control0..*
                  108. Bundle.entry:observation-pregnancy-outcome.resource
                  Control1..?
                  TypeObservation(Observation Pregnancy - Outcome (IPS))
                  110. Bundle.entry:observation-pregnancy-status
                  Slice Nameobservation-pregnancy-status
                  Control0..*
                  112. Bundle.entry:observation-pregnancy-status.resource
                  Control1..?
                  TypeObservation(Observation Pregnancy - Status (IPS))
                  114. Bundle.entry:observation-alcohol-use
                  Slice Nameobservation-alcohol-use
                  Control0..*
                  116. Bundle.entry:observation-alcohol-use.resource
                  Control1..?
                  TypeObservation(Observation Social History - Alcohol Use (IPS))
                  118. Bundle.entry:observation-tobacco-use
                  Slice Nameobservation-tobacco-use
                  Control0..*
                  120. Bundle.entry:observation-tobacco-use.resource
                  Control1..?
                  TypeObservation(Observation Social History - Tobacco Use (IPS))
                  122. Bundle.entry:observation-results-laboratory-pathology
                  Slice Nameobservation-results-laboratory-pathology
                  Control0..*
                  124. Bundle.entry:observation-results-laboratory-pathology.resource
                  Control1..?
                  TypeObservation(Observation Results - Laboratory/Pathology (IPS))
                  126. Bundle.entry:observation-results-radiology
                  Slice Nameobservation-results-radiology
                  Control0..*
                  128. Bundle.entry:observation-results-radiology.resource
                  Control1..?
                  TypeObservation(Observation Results - Radiology (IPS))
                  130. Bundle.entry:observation-vital-signs
                  Slice Nameobservation-vital-signs
                  Control0..*
                  132. Bundle.entry:observation-vital-signs.resource
                  Control1..?
                  TypeObservation(Vital Signs Profile)
                  134. Bundle.entry:organization
                  Slice Nameorganization
                  Control0..*
                  136. Bundle.entry:organization.resource
                  Control1..?
                  TypeOrganization(Organization (IPS))
                  138. Bundle.entry:specimen
                  Slice Namespecimen
                  Control0..*
                  140. Bundle.entry:specimen.resource
                  Control1..?
                  TypeSpecimen(Specimen (IPS))

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

                  0. Bundle
                  Definition

                  International Patient Summary Bundle. A container for a collection of resources in the patient summary document.

                  ShortInternational Patient Summary Bundle
                  Control0..*
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
                  bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
                  bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
                  bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
                  bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
                  bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
                  bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
                  bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
                  bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
                  bdl-ips-1: An IPS document must have no additional Composition (including Composition subclass) resources besides the first. (entry.tail().where(resource is Composition).empty())
                  2. Bundle.id
                  Definition

                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                  ShortLogical id of this artifact
                  Comments

                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                  Control0..1
                  Typeid
                  Is Modifierfalse
                  Summarytrue
                  4. Bundle.meta
                  Definition

                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                  ShortMetadata about the resource
                  Control0..1
                  TypeMeta
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  6. Bundle.implicitRules
                  Definition

                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                  ShortA set of rules under which this content was created
                  Comments

                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                  Control0..1
                  Typeuri
                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  8. Bundle.language
                  Definition

                  The base language in which the resource is written.

                  ShortLanguage of the resource content
                  Comments

                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                  Control0..1
                  BindingThe codes SHOULD be taken from CommonLanguages
                  (preferred to http://hl7.org/fhir/ValueSet/languages)

                  A human language.

                  Additional BindingsPurpose
                  AllLanguagesMax Binding
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  10. Bundle.identifier
                  Definition

                  A persistent identifier for the bundle that won't change as a bundle is copied from server to server.

                  ShortPersistent identifier for the bundle
                  Comments

                  Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.

                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control1..1
                  TypeIdentifier
                  Is Modifierfalse
                  Must Supporttrue
                  Obligations
                    ObligationsActor
                    SHALL:able-to-populateCreator (IPS)
                    SHALL:handleConsumer (IPS)
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    12. Bundle.type
                    Definition

                    Indicates the purpose of this bundle - how it is intended to be used.

                    Shortdocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
                    Comments

                    It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.

                    Control1..1
                    BindingThe codes SHALL be taken from BundleType
                    (required to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1)

                    Indicates the purpose of a bundle - how it is intended to be used.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Fixed Valuedocument
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    14. Bundle.timestamp
                    Definition

                    The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

                    ShortWhen the bundle was assembled
                    Comments

                    For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.

                    Usage:

                    • document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time
                    • message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message
                    • history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates
                    • searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query
                    • transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning

                    The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.

                    Control1..1
                    Typeinstant
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Obligations
                      ObligationsActor
                      SHALL:able-to-populateCreator (IPS)
                      SHALL:handleConsumer (IPS)
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      16. Bundle.total
                      Definition

                      If a set of search matches, this is the total number of entries of type 'match' across all pages in the search. It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle.

                      ShortIf search, the total number of matches
                      Comments

                      Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.

                      Control0..1
                      This element is affected by the following invariants: bdl-1
                      TypeunsignedInt
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      18. Bundle.link
                      Definition

                      A series of links that provide context to this bundle.

                      ShortLinks related to this Bundle
                      Comments

                      Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS).

                      Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly.

                      This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      20. Bundle.link.id
                      Definition

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

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

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      24. Bundle.link.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      26. Bundle.link.relation
                      Definition

                      A name which details the functional use for this link - see http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1.

                      ShortSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
                      Control1..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      28. Bundle.link.url
                      Definition

                      The reference details for the link.

                      ShortReference details for the link
                      Control1..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      30. Bundle.entry
                      Definition

                      An entry resource included in the patient summary document bundle resource.

                      ShortEntry resource in the patient summary bundle
                      Comments

                      Must contain the IPS Composition as the first entry (only a single Composition resource instance may be included) and a Patient resource. Additional constraints are specified in the IPS Composition profile.

                      Control2..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • type @ resource
                      • profile @ resource
                      • 32. Bundle.entry.id
                        Definition

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

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        34. Bundle.entry.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        36. Bundle.entry.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        38. Bundle.entry.link
                        Definition

                        A series of links that provide context to this entry.

                        ShortLinks related to this entry
                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        40. Bundle.entry.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control1..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        42. Bundle.entry.resource
                        Definition

                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortA resource in the bundle
                        Control0..1
                        TypeResource
                        Is Modifierfalse
                        Summarytrue
                        44. Bundle.entry.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..0
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        51. Bundle.entry.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..0
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        62. Bundle.entry.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..0
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        72. Bundle.entry:composition
                        Slice Namecomposition
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control1..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:able-to-populateCreator (IPS)
                          SHALL:handleConsumer (IPS)
                          SHOULD:displayConsumer (IPS)
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          74. Bundle.entry:composition.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          76. Bundle.entry:composition.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          78. Bundle.entry:composition.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          80. Bundle.entry:composition.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          82. Bundle.entry:composition.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          84. Bundle.entry:composition.resource
                          Definition

                          International Patient Summary composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.

                          ShortInternational Patient Summary composition
                          Comments

                          While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                          Control1..1
                          TypeComposition(Composition (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          86. Bundle.entry:composition.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          93. Bundle.entry:composition.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          104. Bundle.entry:composition.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          114. Bundle.entry:patient
                          Slice Namepatient
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control1..1
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. Bundle.entry:patient.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          118. Bundle.entry:patient.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          120. Bundle.entry:patient.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          122. Bundle.entry:patient.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          124. Bundle.entry:patient.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          126. Bundle.entry:patient.resource
                          Definition

                          Demographics and other administrative information about an individual or animal receiving care or other health-related services.

                          ShortInformation about an individual or animal receiving health care services
                          Control1..1
                          TypePatient(Patient (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesSubjectOfCare Client Resident
                          128. Bundle.entry:patient.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          135. Bundle.entry:patient.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          146. Bundle.entry:patient.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          156. Bundle.entry:allergyintolerance
                          Slice Nameallergyintolerance
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          158. Bundle.entry:allergyintolerance.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          160. Bundle.entry:allergyintolerance.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          162. Bundle.entry:allergyintolerance.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          164. Bundle.entry:allergyintolerance.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          166. Bundle.entry:allergyintolerance.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          168. Bundle.entry:allergyintolerance.resource
                          Definition

                          Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.

                          ShortAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
                          Comments

                          Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.

                          Control1..1
                          TypeAllergyIntolerance(AllergyIntolerance (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesAllergy, Intolerance, Adverse Reaction
                          170. Bundle.entry:allergyintolerance.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          177. Bundle.entry:allergyintolerance.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          188. Bundle.entry:allergyintolerance.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          198. Bundle.entry:careplan
                          Slice Namecareplan
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          200. Bundle.entry:careplan.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          202. Bundle.entry:careplan.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          204. Bundle.entry:careplan.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          206. Bundle.entry:careplan.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          208. Bundle.entry:careplan.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          210. Bundle.entry:careplan.resource
                          Definition

                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortA resource in the bundle
                          Control1..1
                          TypeCarePlan
                          Is Modifierfalse
                          Summarytrue
                          212. Bundle.entry:careplan.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          219. Bundle.entry:careplan.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          230. Bundle.entry:careplan.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          240. Bundle.entry:clinicalimpression
                          Slice Nameclinicalimpression
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          242. Bundle.entry:clinicalimpression.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          244. Bundle.entry:clinicalimpression.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          246. Bundle.entry:clinicalimpression.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          248. Bundle.entry:clinicalimpression.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          250. Bundle.entry:clinicalimpression.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          252. Bundle.entry:clinicalimpression.resource
                          Definition

                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortA resource in the bundle
                          Control1..1
                          TypeClinicalImpression
                          Is Modifierfalse
                          Summarytrue
                          254. Bundle.entry:clinicalimpression.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          261. Bundle.entry:clinicalimpression.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          272. Bundle.entry:clinicalimpression.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          282. Bundle.entry:condition
                          Slice Namecondition
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          284. Bundle.entry:condition.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          286. Bundle.entry:condition.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          288. Bundle.entry:condition.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          290. Bundle.entry:condition.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          292. Bundle.entry:condition.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          294. Bundle.entry:condition.resource
                          Definition

                          A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

                          ShortDocumentation of a health problem of the patient
                          Control1..1
                          TypeCondition(Condition (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          296. Bundle.entry:condition.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          303. Bundle.entry:condition.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          314. Bundle.entry:condition.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          324. Bundle.entry:consent
                          Slice Nameconsent
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          326. Bundle.entry:consent.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          328. Bundle.entry:consent.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          330. Bundle.entry:consent.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          332. Bundle.entry:consent.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          334. Bundle.entry:consent.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          336. Bundle.entry:consent.resource
                          Definition

                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortA resource in the bundle
                          Control1..1
                          TypeConsent
                          Is Modifierfalse
                          Summarytrue
                          338. Bundle.entry:consent.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          345. Bundle.entry:consent.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          356. Bundle.entry:consent.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          366. Bundle.entry:device
                          Slice Namedevice
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          368. Bundle.entry:device.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          370. Bundle.entry:device.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          372. Bundle.entry:device.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          374. Bundle.entry:device.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          376. Bundle.entry:device.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          378. Bundle.entry:device.resource
                          Definition

                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortA resource in the bundle
                          Control1..1
                          TypeDevice
                          Is Modifierfalse
                          Summarytrue
                          380. Bundle.entry:device.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          387. Bundle.entry:device.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          398. Bundle.entry:device.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          408. Bundle.entry:deviceusestatement
                          Slice Namedeviceusestatement
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          410. Bundle.entry:deviceusestatement.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          412. Bundle.entry:deviceusestatement.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          414. Bundle.entry:deviceusestatement.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          416. Bundle.entry:deviceusestatement.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          418. Bundle.entry:deviceusestatement.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          420. Bundle.entry:deviceusestatement.resource
                          Definition

                          A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.

                          ShortRecord of use of a device
                          Control1..1
                          TypeDeviceUseStatement(DeviceUseStatement (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          422. Bundle.entry:deviceusestatement.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          429. Bundle.entry:deviceusestatement.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          440. Bundle.entry:deviceusestatement.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          450. Bundle.entry:diagnosticreport
                          Slice Namediagnosticreport
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          452. Bundle.entry:diagnosticreport.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          454. Bundle.entry:diagnosticreport.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          456. Bundle.entry:diagnosticreport.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          458. Bundle.entry:diagnosticreport.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          460. Bundle.entry:diagnosticreport.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          462. Bundle.entry:diagnosticreport.resource
                          Definition

                          The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.

                          ShortA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                          Comments

                          This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

                          Control1..1
                          TypeDiagnosticReport(DiagnosticReport (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesReport, Test, Result, Results, Labs, Laboratory
                          464. Bundle.entry:diagnosticreport.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          471. Bundle.entry:diagnosticreport.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          482. Bundle.entry:diagnosticreport.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          492. Bundle.entry:documentreference
                          Slice Namedocumentreference
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          494. Bundle.entry:documentreference.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          496. Bundle.entry:documentreference.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          498. Bundle.entry:documentreference.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          500. Bundle.entry:documentreference.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          502. Bundle.entry:documentreference.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          504. Bundle.entry:documentreference.resource
                          Definition

                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortA resource in the bundle
                          Control1..1
                          TypeDocumentReference
                          Is Modifierfalse
                          Summarytrue
                          506. Bundle.entry:documentreference.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          513. Bundle.entry:documentreference.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          524. Bundle.entry:documentreference.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          534. Bundle.entry:flag
                          Slice Nameflag
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          536. Bundle.entry:flag.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          538. Bundle.entry:flag.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          540. Bundle.entry:flag.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          542. Bundle.entry:flag.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          544. Bundle.entry:flag.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          546. Bundle.entry:flag.resource
                          Definition

                          Prospective warnings of potential issues when providing care to the patient.

                          ShortKey information to flag to healthcare providers
                          Control1..1
                          TypeFlag(Flag - Alert (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesBarriers to Care, Alert, Warning
                          548. Bundle.entry:flag.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          555. Bundle.entry:flag.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          566. Bundle.entry:flag.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          576. Bundle.entry:imagingstudy
                          Slice Nameimagingstudy
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          578. Bundle.entry:imagingstudy.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          580. Bundle.entry:imagingstudy.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          582. Bundle.entry:imagingstudy.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          584. Bundle.entry:imagingstudy.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          586. Bundle.entry:imagingstudy.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          588. Bundle.entry:imagingstudy.resource
                          Definition

                          Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

                          ShortA set of images produced in single study (one or more series of references images)
                          Control1..1
                          TypeImagingStudy(ImagingStudy (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          590. Bundle.entry:imagingstudy.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          597. Bundle.entry:imagingstudy.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          608. Bundle.entry:imagingstudy.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          618. Bundle.entry:immunization
                          Slice Nameimmunization
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          620. Bundle.entry:immunization.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          622. Bundle.entry:immunization.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          624. Bundle.entry:immunization.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          626. Bundle.entry:immunization.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          628. Bundle.entry:immunization.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          630. Bundle.entry:immunization.resource
                          Definition

                          Describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient, a clinician or another party and may include vaccine reaction information and what vaccination protocol was followed

                          ShortImmunization event information
                          Control1..1
                          TypeImmunization(Immunization (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          632. Bundle.entry:immunization.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          639. Bundle.entry:immunization.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          650. Bundle.entry:immunization.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          660. Bundle.entry:immunizationrecommendation
                          Slice Nameimmunizationrecommendation
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          662. Bundle.entry:immunizationrecommendation.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          664. Bundle.entry:immunizationrecommendation.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          666. Bundle.entry:immunizationrecommendation.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          668. Bundle.entry:immunizationrecommendation.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          670. Bundle.entry:immunizationrecommendation.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          672. Bundle.entry:immunizationrecommendation.resource
                          Definition

                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortA resource in the bundle
                          Control1..1
                          TypeImmunizationRecommendation
                          Is Modifierfalse
                          Summarytrue
                          674. Bundle.entry:immunizationrecommendation.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          681. Bundle.entry:immunizationrecommendation.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          692. Bundle.entry:immunizationrecommendation.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          702. Bundle.entry:medication
                          Slice Namemedication
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          704. Bundle.entry:medication.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          706. Bundle.entry:medication.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          708. Bundle.entry:medication.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          710. Bundle.entry:medication.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          712. Bundle.entry:medication.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          714. Bundle.entry:medication.resource
                          Definition

                          This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

                          ShortDefinition of a Medication
                          Comments

                          IPS Medication

                          Control1..1
                          TypeMedication(Medication (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          716. Bundle.entry:medication.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          723. Bundle.entry:medication.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          734. Bundle.entry:medication.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          744. Bundle.entry:medicationrequest
                          Slice Namemedicationrequest
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          746. Bundle.entry:medicationrequest.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          748. Bundle.entry:medicationrequest.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          750. Bundle.entry:medicationrequest.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          752. Bundle.entry:medicationrequest.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          754. Bundle.entry:medicationrequest.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          756. Bundle.entry:medicationrequest.resource
                          Definition

                          An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.

                          ShortOrdering of medication for patient or group
                          Control1..1
                          TypeMedicationRequest(MedicationRequest (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesPrescription, Order
                          758. Bundle.entry:medicationrequest.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          765. Bundle.entry:medicationrequest.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          776. Bundle.entry:medicationrequest.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          786. Bundle.entry:medicationstatement
                          Slice Namemedicationstatement
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          788. Bundle.entry:medicationstatement.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          790. Bundle.entry:medicationstatement.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          792. Bundle.entry:medicationstatement.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          794. Bundle.entry:medicationstatement.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          796. Bundle.entry:medicationstatement.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          798. Bundle.entry:medicationstatement.resource
                          Definition

                          A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

                          The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.

                          ShortRecord of medication being taken by a patient
                          Comments

                          When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.

                          Control1..1
                          TypeMedicationStatement(MedicationStatement (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          800. Bundle.entry:medicationstatement.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          807. Bundle.entry:medicationstatement.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          818. Bundle.entry:medicationstatement.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          828. Bundle.entry:practitioner
                          Slice Namepractitioner
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          830. Bundle.entry:practitioner.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          832. Bundle.entry:practitioner.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          834. Bundle.entry:practitioner.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          836. Bundle.entry:practitioner.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          838. Bundle.entry:practitioner.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          840. Bundle.entry:practitioner.resource
                          Definition

                          A person who is directly or indirectly involved in the provisioning of healthcare.

                          ShortA person with a formal responsibility in the provisioning of healthcare or related services
                          Control1..1
                          TypePractitioner(Practitioner (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          842. Bundle.entry:practitioner.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          849. Bundle.entry:practitioner.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          860. Bundle.entry:practitioner.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          870. Bundle.entry:practitionerrole
                          Slice Namepractitionerrole
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          872. Bundle.entry:practitionerrole.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          874. Bundle.entry:practitionerrole.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          876. Bundle.entry:practitionerrole.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          878. Bundle.entry:practitionerrole.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          880. Bundle.entry:practitionerrole.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          882. Bundle.entry:practitionerrole.resource
                          Definition

                          A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

                          ShortRoles/organizations the practitioner is associated with
                          Control1..1
                          TypePractitionerRole(PractitionerRole (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          884. Bundle.entry:practitionerrole.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          891. Bundle.entry:practitionerrole.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          902. Bundle.entry:practitionerrole.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          912. Bundle.entry:procedure
                          Slice Nameprocedure
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          914. Bundle.entry:procedure.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          916. Bundle.entry:procedure.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          918. Bundle.entry:procedure.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          920. Bundle.entry:procedure.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          922. Bundle.entry:procedure.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          924. Bundle.entry:procedure.resource
                          Definition

                          An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.

                          ShortAn action that is being or was performed on a patient
                          Control1..1
                          TypeProcedure(Procedure (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          926. Bundle.entry:procedure.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          933. Bundle.entry:procedure.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          944. Bundle.entry:procedure.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          954. Bundle.entry:observation-pregnancy-edd
                          Slice Nameobservation-pregnancy-edd
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          956. Bundle.entry:observation-pregnancy-edd.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          958. Bundle.entry:observation-pregnancy-edd.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          960. Bundle.entry:observation-pregnancy-edd.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          962. Bundle.entry:observation-pregnancy-edd.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          964. Bundle.entry:observation-pregnancy-edd.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          966. Bundle.entry:observation-pregnancy-edd.resource
                          Definition

                          Measurements and simple assertions made about a patient, device or other subject.

                          ShortMeasurements and simple assertions
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Observation Pregnancy - Expected Delivery Date (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          968. Bundle.entry:observation-pregnancy-edd.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          975. Bundle.entry:observation-pregnancy-edd.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          986. Bundle.entry:observation-pregnancy-edd.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          996. Bundle.entry:observation-pregnancy-outcome
                          Slice Nameobservation-pregnancy-outcome
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          998. Bundle.entry:observation-pregnancy-outcome.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1000. Bundle.entry:observation-pregnancy-outcome.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1002. Bundle.entry:observation-pregnancy-outcome.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1004. Bundle.entry:observation-pregnancy-outcome.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1006. Bundle.entry:observation-pregnancy-outcome.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1008. Bundle.entry:observation-pregnancy-outcome.resource
                          Definition

                          Measurements and simple assertions made about a patient, device or other subject.

                          ShortMeasurements and simple assertions
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Observation Pregnancy - Outcome (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1010. Bundle.entry:observation-pregnancy-outcome.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1017. Bundle.entry:observation-pregnancy-outcome.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1028. Bundle.entry:observation-pregnancy-outcome.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1038. Bundle.entry:observation-pregnancy-status
                          Slice Nameobservation-pregnancy-status
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1040. Bundle.entry:observation-pregnancy-status.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1042. Bundle.entry:observation-pregnancy-status.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1044. Bundle.entry:observation-pregnancy-status.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1046. Bundle.entry:observation-pregnancy-status.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1048. Bundle.entry:observation-pregnancy-status.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1050. Bundle.entry:observation-pregnancy-status.resource
                          Definition

                          Measurements and simple assertions made about a patient, device or other subject.

                          ShortMeasurements and simple assertions
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Observation Pregnancy - Status (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1052. Bundle.entry:observation-pregnancy-status.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1059. Bundle.entry:observation-pregnancy-status.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1070. Bundle.entry:observation-pregnancy-status.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1080. Bundle.entry:observation-alcohol-use
                          Slice Nameobservation-alcohol-use
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1082. Bundle.entry:observation-alcohol-use.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1084. Bundle.entry:observation-alcohol-use.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1086. Bundle.entry:observation-alcohol-use.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1088. Bundle.entry:observation-alcohol-use.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1090. Bundle.entry:observation-alcohol-use.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1092. Bundle.entry:observation-alcohol-use.resource
                          Definition

                          Measurements and simple assertions made about a patient, device or other subject.

                          ShortMeasurements and simple assertions
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Observation Social History - Alcohol Use (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1094. Bundle.entry:observation-alcohol-use.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1101. Bundle.entry:observation-alcohol-use.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1112. Bundle.entry:observation-alcohol-use.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1122. Bundle.entry:observation-tobacco-use
                          Slice Nameobservation-tobacco-use
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1124. Bundle.entry:observation-tobacco-use.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1126. Bundle.entry:observation-tobacco-use.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1128. Bundle.entry:observation-tobacco-use.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1130. Bundle.entry:observation-tobacco-use.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1132. Bundle.entry:observation-tobacco-use.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1134. Bundle.entry:observation-tobacco-use.resource
                          Definition

                          Measurements and simple assertions made about a patient, device or other subject.

                          ShortMeasurements and simple assertions
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Observation Social History - Tobacco Use (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1136. Bundle.entry:observation-tobacco-use.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1143. Bundle.entry:observation-tobacco-use.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1154. Bundle.entry:observation-tobacco-use.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1164. Bundle.entry:observation-results-laboratory-pathology
                          Slice Nameobservation-results-laboratory-pathology
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1166. Bundle.entry:observation-results-laboratory-pathology.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1168. Bundle.entry:observation-results-laboratory-pathology.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1170. Bundle.entry:observation-results-laboratory-pathology.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1172. Bundle.entry:observation-results-laboratory-pathology.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1174. Bundle.entry:observation-results-laboratory-pathology.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1176. Bundle.entry:observation-results-laboratory-pathology.resource
                          Definition

                          This observation may represent the result of a simple laboratory or pathology test such as hematocrit, or it may group the set of results produced by a multi-test study or panel such as a complete blood count, a dynamic function test, or a urine specimen study. In the latter case, the observation carries the overall conclusion of the study and references the atomic results of the study as "has-member" child observations

                          ShortLaboratory (including Pathology) result for a simple test or for a panel/study
                          Comments

                          Represents either a lab simple observation or the group of observations produced by a laboratory study.

                          Control1..1
                          TypeObservation(Observation Results - Laboratory/Pathology (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1178. Bundle.entry:observation-results-laboratory-pathology.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1185. Bundle.entry:observation-results-laboratory-pathology.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1196. Bundle.entry:observation-results-laboratory-pathology.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1206. Bundle.entry:observation-results-radiology
                          Slice Nameobservation-results-radiology
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1208. Bundle.entry:observation-results-radiology.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1210. Bundle.entry:observation-results-radiology.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1212. Bundle.entry:observation-results-radiology.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1214. Bundle.entry:observation-results-radiology.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1216. Bundle.entry:observation-results-radiology.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1218. Bundle.entry:observation-results-radiology.resource
                          Definition

                          Measurements and simple assertions made about a patient, device or other subject.

                          ShortMeasurements and simple assertions
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Observation Results - Radiology (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1220. Bundle.entry:observation-results-radiology.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1227. Bundle.entry:observation-results-radiology.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1238. Bundle.entry:observation-results-radiology.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1248. Bundle.entry:observation-vital-signs
                          Slice Nameobservation-vital-signs
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1250. Bundle.entry:observation-vital-signs.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1252. Bundle.entry:observation-vital-signs.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1254. Bundle.entry:observation-vital-signs.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1256. Bundle.entry:observation-vital-signs.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1258. Bundle.entry:observation-vital-signs.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1260. Bundle.entry:observation-vital-signs.resource
                          Definition

                          The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.

                          ShortFHIR Vital Signs Profile
                          Comments

                          Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.

                          Control1..1
                          TypeObservation(Vital Signs Profile)
                          Is Modifierfalse
                          Summaryfalse
                          Alternate NamesVital Signs, Measurement, Results, Tests
                          1262. Bundle.entry:observation-vital-signs.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1269. Bundle.entry:observation-vital-signs.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1280. Bundle.entry:observation-vital-signs.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1290. Bundle.entry:organization
                          Slice Nameorganization
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1292. Bundle.entry:organization.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1294. Bundle.entry:organization.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1296. Bundle.entry:organization.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1298. Bundle.entry:organization.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1300. Bundle.entry:organization.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1302. Bundle.entry:organization.resource
                          Definition

                          A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

                          ShortA grouping of people or organizations with a common purpose
                          Control1..1
                          TypeOrganization(Organization (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          1304. Bundle.entry:organization.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1311. Bundle.entry:organization.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1322. Bundle.entry:organization.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1332. Bundle.entry:specimen
                          Slice Namespecimen
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1334. Bundle.entry:specimen.id
                          Definition

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

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          1336. Bundle.entry:specimen.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1338. Bundle.entry:specimen.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          1340. Bundle.entry:specimen.link
                          Definition

                          A series of links that provide context to this entry.

                          ShortLinks related to this entry
                          Control0..*
                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1342. Bundle.entry:specimen.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control1..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1344. Bundle.entry:specimen.resource
                          Definition

                          A sample to be used for analysis.

                          ShortSample for analysis
                          Control1..1
                          TypeSpecimen(Specimen (IPS))
                          Is Modifierfalse
                          Summaryfalse
                          1346. Bundle.entry:specimen.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..0
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1353. Bundle.entry:specimen.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1364. Bundle.entry:specimen.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..0
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          1374. Bundle.signature
                          Definition

                          Digital Signature - base64 encoded. XML-DSig or a JWT.

                          ShortDigital Signature
                          Comments

                          The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.

                          Control0..1
                          TypeSignature
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))