HL7 Europe Patient Summary
0.0.1-ci - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

Resource Profile: BundleEuEps - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the bundle-eu-eps resource profile.

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

0. Bundle
Definition

Patient Summary bundle.


A container for a collection of resources.

ShortPatient 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-populateProducer (IPS)from Bundle (IPS)
    SHALL:handleConsumer (IPS)from Bundle (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-populateProducer (IPS)from Bundle (IPS)
      SHALL:handleConsumer (IPS)from Bundle (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
        Must Supporttrue
        Obligations
          ObligationsActor
          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
          SHALL:handleConsumer (IPS)from Bundle (IPS)
          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-populateProducer (IPS)from Bundle (IPS)
            SHALL:handleConsumer (IPS)from Bundle (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
            Must Supporttrue
            Obligations
              ObligationsActor
              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
              SHALL:handleConsumer (IPS)from Bundle (IPS)
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. Bundle.entry:composition.resource
              Definition

              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.

              ShortPatient 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 (EPS))
              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
              Must Supporttrue
              Obligations
                ObligationsActor
                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                SHALL:handleConsumer (IPS)from Bundle (IPS)
                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 (EPS))
                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
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                  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(Allergy Intolerance (EPS))
                  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
                  Must Supporttrue
                  Obligations
                    ObligationsActor
                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                    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
                    Must Supporttrue
                    Obligations
                      ObligationsActor
                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                      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
                      Must Supporttrue
                      Obligations
                        ObligationsActor
                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                        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 (EPS))
                        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
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                          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
                          Must Supporttrue
                          Obligations
                            ObligationsActor
                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            174. Bundle.entry:device.resource
                            Definition

                            A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.


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

                            ShortItem used in healthcareA resource in the bundle
                            Comments

                            This profile applies the rules defined by HL7 International for representing the UDI in the FHIR standard, by the document "Medical Devices and Unique Device Identification (UDI) Pattern, Release 1"

                            Control10..1
                            TypeDeviceResource(Device (EPS))
                            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
                            Must Supporttrue
                            Obligations
                              ObligationsActor
                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                              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 (EPS))
                              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
                              Must Supporttrue
                              Obligations
                                ObligationsActor
                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                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
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                  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
                                  Must Supporttrue
                                  Obligations
                                    ObligationsActor
                                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                                    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 (EPS))
                                    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
                                    Must Supporttrue
                                    Obligations
                                      ObligationsActor
                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                      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
                                      Must Supporttrue
                                      Obligations
                                        ObligationsActor
                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                        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 vaccine or a record of an immunization as reported by a patient, a clinician or another party.


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

                                        ShortImmunization event informationA resource in the bundle
                                        Control10..1
                                        TypeImmunizationResource(Immunization (EPS))
                                        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
                                        Must Supporttrue
                                        Obligations
                                          ObligationsActor
                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                          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
                                          Must Supporttrue
                                          Obligations
                                            ObligationsActor
                                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                                            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 (EPS))
                                            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
                                            Must Supporttrue
                                            Obligations
                                              ObligationsActor
                                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                                              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 (EPS))
                                              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
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                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(Medication Statement (EPS))
                                                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
                                                Must Supporttrue
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                  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 (EU core))
                                                  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
                                                  Must Supporttrue
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                    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 (EU core))
                                                    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
                                                    Must Supporttrue
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                      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 (EPS))
                                                      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
                                                      Must Supporttrue
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                        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
                                                        Must Supporttrue
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                          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
                                                          Must Supporttrue
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                            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
                                                            Must Supporttrue
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                              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
                                                              Must Supporttrue
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                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
                                                                Must Supporttrue
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                  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
                                                                  Must Supporttrue
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                    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
                                                                    Must Supporttrue
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                      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
                                                                      Must Supporttrue
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                        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
                                                                        Must Supporttrue
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                          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

                                                                          Patient Summary bundle.

                                                                          ShortPatient Summary bundle
                                                                          2. Bundle.entry:composition
                                                                          Slice Namecomposition
                                                                          4. Bundle.entry:composition.resource
                                                                          TypeComposition(Composition (EPS))
                                                                          6. Bundle.entry:patient
                                                                          Slice Namepatient
                                                                          8. Bundle.entry:patient.resource
                                                                          TypePatient(Patient (EPS))
                                                                          10. Bundle.entry:allergyintolerance
                                                                          Slice Nameallergyintolerance
                                                                          12. Bundle.entry:allergyintolerance.resource
                                                                          TypeAllergyIntolerance(Allergy Intolerance (EPS))
                                                                          14. Bundle.entry:condition
                                                                          Slice Namecondition
                                                                          16. Bundle.entry:condition.resource
                                                                          TypeCondition(Condition (EPS))
                                                                          18. Bundle.entry:device
                                                                          Slice Namedevice
                                                                          20. Bundle.entry:device.resource
                                                                          TypeDevice(Device (EPS))
                                                                          22. Bundle.entry:deviceusestatement
                                                                          Slice Namedeviceusestatement
                                                                          24. Bundle.entry:deviceusestatement.resource
                                                                          TypeDeviceUseStatement(DeviceUseStatement (EPS))
                                                                          26. Bundle.entry:flag
                                                                          Slice Nameflag
                                                                          28. Bundle.entry:flag.resource
                                                                          TypeFlag(Flag (EPS))
                                                                          30. Bundle.entry:immunization
                                                                          Slice Nameimmunization
                                                                          32. Bundle.entry:immunization.resource
                                                                          TypeImmunization(Immunization (EPS))
                                                                          34. Bundle.entry:medication
                                                                          Slice Namemedication
                                                                          36. Bundle.entry:medication.resource
                                                                          TypeMedication(Medication (EPS))
                                                                          38. Bundle.entry:medicationrequest
                                                                          Slice Namemedicationrequest
                                                                          40. Bundle.entry:medicationrequest.resource
                                                                          TypeMedicationRequest(MedicationRequest (EPS))
                                                                          42. Bundle.entry:medicationstatement
                                                                          Slice Namemedicationstatement
                                                                          44. Bundle.entry:medicationstatement.resource
                                                                          TypeMedicationStatement(Medication Statement (EPS))
                                                                          46. Bundle.entry:practitioner
                                                                          Slice Namepractitioner
                                                                          48. Bundle.entry:practitioner.resource
                                                                          TypePractitioner(Practitioner (EU core))
                                                                          50. Bundle.entry:practitionerrole
                                                                          Slice Namepractitionerrole
                                                                          52. Bundle.entry:practitionerrole.resource
                                                                          TypePractitionerRole(PractitionerRole (EU core))
                                                                          54. Bundle.entry:procedure
                                                                          Slice Nameprocedure
                                                                          56. Bundle.entry:procedure.resource
                                                                          TypeProcedure(Procedure (EPS))

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

                                                                          0. Bundle
                                                                          Definition

                                                                          Patient Summary bundle.

                                                                          ShortPatient 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-populateProducer (IPS)from Bundle (IPS)
                                                                            SHALL:handleConsumer (IPS)from Bundle (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-populateProducer (IPS)from Bundle (IPS)
                                                                              SHALL:handleConsumer (IPS)from Bundle (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
                                                                                Must Supporttrue
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                  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-populateProducer (IPS)from Bundle (IPS)
                                                                                    SHALL:handleConsumer (IPS)from Bundle (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
                                                                                    Must Supporttrue
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                      Summarytrue
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      84. Bundle.entry:composition.resource
                                                                                      Definition

                                                                                      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.

                                                                                      ShortPatient 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 (EPS))
                                                                                      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
                                                                                      Must Supporttrue
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                        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 (EPS))
                                                                                        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
                                                                                        Must Supporttrue
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                          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(Allergy Intolerance (EPS))
                                                                                          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
                                                                                          Must Supporttrue
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                            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
                                                                                            Must Supporttrue
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                              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
                                                                                              Must Supporttrue
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                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 (EPS))
                                                                                                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
                                                                                                Must Supporttrue
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                  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
                                                                                                  Must Supporttrue
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    378. Bundle.entry:device.resource
                                                                                                    Definition

                                                                                                    A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.

                                                                                                    ShortItem used in healthcare
                                                                                                    Comments

                                                                                                    This profile applies the rules defined by HL7 International for representing the UDI in the FHIR standard, by the document "Medical Devices and Unique Device Identification (UDI) Pattern, Release 1"

                                                                                                    Control1..1
                                                                                                    TypeDevice(Device (EPS))
                                                                                                    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
                                                                                                    Must Supporttrue
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                      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 (EPS))
                                                                                                      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
                                                                                                      Must Supporttrue
                                                                                                      Obligations
                                                                                                        ObligationsActor
                                                                                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                        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
                                                                                                        Must Supporttrue
                                                                                                        Obligations
                                                                                                          ObligationsActor
                                                                                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                          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
                                                                                                          Must Supporttrue
                                                                                                          Obligations
                                                                                                            ObligationsActor
                                                                                                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                            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 (EPS))
                                                                                                            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
                                                                                                            Must Supporttrue
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                              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
                                                                                                              Must Supporttrue
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                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 vaccine or a record of an immunization as reported by a patient, a clinician or another party.

                                                                                                                ShortImmunization event information
                                                                                                                Control1..1
                                                                                                                TypeImmunization(Immunization (EPS))
                                                                                                                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
                                                                                                                Must Supporttrue
                                                                                                                Obligations
                                                                                                                  ObligationsActor
                                                                                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                  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
                                                                                                                  Must Supporttrue
                                                                                                                  Obligations
                                                                                                                    ObligationsActor
                                                                                                                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                    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 (EPS))
                                                                                                                    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
                                                                                                                    Must Supporttrue
                                                                                                                    Obligations
                                                                                                                      ObligationsActor
                                                                                                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                      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 (EPS))
                                                                                                                      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
                                                                                                                      Must Supporttrue
                                                                                                                      Obligations
                                                                                                                        ObligationsActor
                                                                                                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                        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(Medication Statement (EPS))
                                                                                                                        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
                                                                                                                        Must Supporttrue
                                                                                                                        Obligations
                                                                                                                          ObligationsActor
                                                                                                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                          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 (EU core))
                                                                                                                          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
                                                                                                                          Must Supporttrue
                                                                                                                          Obligations
                                                                                                                            ObligationsActor
                                                                                                                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                            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 (EU core))
                                                                                                                            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
                                                                                                                            Must Supporttrue
                                                                                                                            Obligations
                                                                                                                              ObligationsActor
                                                                                                                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                              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 (EPS))
                                                                                                                              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
                                                                                                                              Must Supporttrue
                                                                                                                              Obligations
                                                                                                                                ObligationsActor
                                                                                                                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                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
                                                                                                                                Must Supporttrue
                                                                                                                                Obligations
                                                                                                                                  ObligationsActor
                                                                                                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                  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
                                                                                                                                  Must Supporttrue
                                                                                                                                  Obligations
                                                                                                                                    ObligationsActor
                                                                                                                                    SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                    SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                    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
                                                                                                                                    Must Supporttrue
                                                                                                                                    Obligations
                                                                                                                                      ObligationsActor
                                                                                                                                      SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                      SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                      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
                                                                                                                                      Must Supporttrue
                                                                                                                                      Obligations
                                                                                                                                        ObligationsActor
                                                                                                                                        SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                        SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                        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
                                                                                                                                        Must Supporttrue
                                                                                                                                        Obligations
                                                                                                                                          ObligationsActor
                                                                                                                                          SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                          SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                          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
                                                                                                                                          Must Supporttrue
                                                                                                                                          Obligations
                                                                                                                                            ObligationsActor
                                                                                                                                            SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                            SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                            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
                                                                                                                                            Must Supporttrue
                                                                                                                                            Obligations
                                                                                                                                              ObligationsActor
                                                                                                                                              SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                              SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                              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
                                                                                                                                              Must Supporttrue
                                                                                                                                              Obligations
                                                                                                                                                ObligationsActor
                                                                                                                                                SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                                SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                                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
                                                                                                                                                Must Supporttrue
                                                                                                                                                Obligations
                                                                                                                                                  ObligationsActor
                                                                                                                                                  SHALL:able-to-populateProducer (IPS)from Bundle (IPS)
                                                                                                                                                  SHALL:handleConsumer (IPS)from Bundle (IPS)
                                                                                                                                                  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()))