HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Bundle (HDR)

Clinical document used to represent a Hospital Discharge Report for the scope of this guide.

Usages:

• Derived from this Profile: Bundle: obligations
• Examples for this Profile: Bundle/HDR-Luigi-De-Luca-Example, Bundle/HDR-Paolo-Marcheschi-Example, Bundle/HDR-Reijer-Wolff-Example and Bundle/bundle-swart

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Hospital Discharge Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-hdr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Instance identifier
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	Instance identifier
Slices for entry	ΣC	3..*	BackboneElement	Entry resource in the Hospital Discharge Report bundle Slice: Unordered, Open by type:resource, profile:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionEuHdr	Hospital Discharge Report composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:encounter	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	EncounterEuHdr	An interaction during which services are provided to the patient
entry:allergyIntolerance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ConditionEuHdr	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuHdr	Item used in healthcare
entry:deviceUseStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuHdr	Record of use of a device
entry:diagnosticReport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportUvIps(2.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingStudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.0)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationEuHdr	Immunization event information
entry:immunizationRecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationRecommendationEuHdr	Guidance or advice relating to an immunization
entry:media	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Media	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationEuHdr	Definition of a Medication
entry:medicationRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationRequestEuHdr	Ordering of medication for patient or group
entry:medicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationStatementEuHdr	Record of medication being taken by a patient
entry:medicationDispense	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationDispenseEuHdr	Dispensing a medication to a named patient
entry:medicationAdministration	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationAdministrationEuHdr	Administration of medication to a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ProcedureEuHdr	An action that is being or was performed on a patient
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	OrganizationEuCore	A grouping of people or organizations with a common purpose
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.0)	Sample for analysis
entry:familyMemberHistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FamilyMemberHistoryEuHdr	Information about patient's relatives, relevant for patient
entry:documentReference	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	DocumentReference	A resource in the bundle
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagEuHdr	Key information to flag to healthcare providers
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	LocationEuCore	Details and position information for a physical place
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
signature	Σ	0..1	Signature	Report Digital Signature
type	Σ	1..*	Coding	Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	Σ	1..1	instant	When was signed
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed.
data		0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceUseStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunizationRecommendation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:media.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationDispense.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationAdministration.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:familyMemberHistory.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:documentReference.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	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	error	Bundle	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-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-hdr-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first.	entry.tail().where(resource is Composition).empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Hospital Discharge Report bundle Constraints: bdl-hdr-1
identifier		1..1	Identifier	Instance identifier
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp		1..1	instant	Instance identifier
link		0..0		Links related to this Bundle
Slices for entry		3..*	BackboneElement	Entry resource in the Hospital Discharge Report bundle Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices				Content/Rules for all slices
fullUrl		1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Resource	A resource in the bundle
search		0..0		Search related information
request		0..0		Additional execution information (transaction/batch/history)
response		0..0		Results of execution (transaction/batch/history)
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CompositionEuHdr	Hospital Discharge Report composition
entry:patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:encounter		1..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	EncounterEuHdr	An interaction during which services are provided to the patient
entry:allergyIntolerance		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ConditionEuHdr	Detailed information about conditions, problems or diagnoses
entry:device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DeviceEuHdr	Item used in healthcare
entry:deviceUseStatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DeviceUseStatementEuHdr	Record of use of a device
entry:diagnosticReport		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportUvIps(2.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingStudy		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImagingStudyUvIps(2.0.0)	A set of images produced in single study (one or more series of references images)
entry:immunization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImmunizationEuHdr	Immunization event information
entry:immunizationRecommendation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImmunizationRecommendationEuHdr	Guidance or advice relating to an immunization
entry:media		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Media	A resource in the bundle
entry:medication		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationEuHdr	Definition of a Medication
entry:medicationRequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationRequestEuHdr	Ordering of medication for patient or group
entry:medicationStatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationStatementEuHdr	Record of medication being taken by a patient
entry:medicationDispense		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationDispenseEuHdr	Dispensing a medication to a named patient
entry:medicationAdministration		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationAdministrationEuHdr	Administration of medication to a patient
entry:practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:procedure		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ProcedureEuHdr	An action that is being or was performed on a patient
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	OrganizationEuCore	A grouping of people or organizations with a common purpose
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Observation	A resource in the bundle
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	SpecimenUvIps(2.0.0)	Sample for analysis
entry:familyMemberHistory		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	FamilyMemberHistoryEuHdr	Information about patient's relatives, relevant for patient
entry:documentReference		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DocumentReference	A resource in the bundle
entry:flag		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	FlagEuHdr	Key information to flag to healthcare providers
entry:location		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	LocationEuCore	Details and position information for a physical place
entry:careplan		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CarePlan	A resource in the bundle
signature		0..1	Signature	Report Digital Signature
type		1..*	Coding	Digital Signature Purposes
when		1..1	instant	When was signed
who		1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed.
data		0..1	base64Binary	Signature content
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-hdr-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first.	entry.tail().where(resource is Composition).empty()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Hospital Discharge Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-hdr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Instance identifier
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	Instance identifier
total	ΣC	0..1	unsignedInt	If search, the total number of matches
Slices for entry	ΣC	3..*	BackboneElement	Entry resource in the Hospital Discharge Report bundle Slice: Unordered, Open by type:resource, profile:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionEuHdr	Hospital Discharge Report composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:encounter	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	EncounterEuHdr	An interaction during which services are provided to the patient
entry:allergyIntolerance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ConditionEuHdr	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuHdr	Item used in healthcare
entry:deviceUseStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuHdr	Record of use of a device
entry:diagnosticReport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportUvIps(2.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingStudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.0)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationEuHdr	Immunization event information
entry:immunizationRecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationRecommendationEuHdr	Guidance or advice relating to an immunization
entry:media	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Media	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationEuHdr	Definition of a Medication
entry:medicationRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationRequestEuHdr	Ordering of medication for patient or group
entry:medicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationStatementEuHdr	Record of medication being taken by a patient
entry:medicationDispense	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationDispenseEuHdr	Dispensing a medication to a named patient
entry:medicationAdministration	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationAdministrationEuHdr	Administration of medication to a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ProcedureEuHdr	An action that is being or was performed on a patient
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	OrganizationEuCore	A grouping of people or organizations with a common purpose
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.0)	Sample for analysis
entry:familyMemberHistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FamilyMemberHistoryEuHdr	Information about patient's relatives, relevant for patient
entry:documentReference	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	DocumentReference	A resource in the bundle
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagEuHdr	Key information to flag to healthcare providers
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	LocationEuCore	Details and position information for a physical place
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
signature	Σ	0..1	Signature	Report Digital Signature
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..*	Coding	Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	Σ	1..1	instant	When was signed
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed.
onBehalfOf	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	The party represented
targetFormat		0..1	code	The technical format of the signed resources Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
sigFormat		0..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data		0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceUseStatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:deviceUseStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingStudy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:imagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunizationRecommendation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:immunizationRecommendation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:media.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:media.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationRequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationStatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationDispense.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationDispense.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationAdministration.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationAdministration.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:familyMemberHistory.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:familyMemberHistory.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:documentReference.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:documentReference.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.
Bundle.signature.targetFormat	Base	required	MimeType	📍4.0.1	FHIR Std.
Bundle.signature.sigFormat	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	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	error	Bundle	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-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-hdr-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first.	entry.tail().where(resource is Composition).empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 6 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• Composition (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Encounter (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr)
• Allergy Intolerance (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-eu-hdr)
• Condition (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr)
• Device (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/device-eu-hdr)
• DeviceUseStatement (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/deviceUseStatement-eu-hdr)
• DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
• ImagingStudy (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips)
• Immunization (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/immunization-eu-hdr)
• ImmunizationRecommendation (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/immunizationRecommendation-eu-hdr)
• Medication (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr)
• MedicationRequest (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationRequest-eu-hdr)
• MedicationStatement (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationStatement-eu-hdr)
• MedicationDispense (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationDispense-eu-hdr)
• MedicationAdministration (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Procedure (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
• Specimen (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips)
• FamilyMemberHistory (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/familyMemberHistory-eu-hdr)
• Flag (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/flag-eu-hdr)
• Location (EU core) (http://hl7.eu/fhir/base/StructureDefinition/location-eu-core)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Bundle.entry

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Hospital Discharge Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-hdr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Instance identifier
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	Instance identifier
Slices for entry	ΣC	3..*	BackboneElement	Entry resource in the Hospital Discharge Report bundle Slice: Unordered, Open by type:resource, profile:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionEuHdr	Hospital Discharge Report composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:encounter	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	EncounterEuHdr	An interaction during which services are provided to the patient
entry:allergyIntolerance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ConditionEuHdr	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuHdr	Item used in healthcare
entry:deviceUseStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuHdr	Record of use of a device
entry:diagnosticReport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportUvIps(2.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingStudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.0)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationEuHdr	Immunization event information
entry:immunizationRecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationRecommendationEuHdr	Guidance or advice relating to an immunization
entry:media	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Media	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationEuHdr	Definition of a Medication
entry:medicationRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationRequestEuHdr	Ordering of medication for patient or group
entry:medicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationStatementEuHdr	Record of medication being taken by a patient
entry:medicationDispense	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationDispenseEuHdr	Dispensing a medication to a named patient
entry:medicationAdministration	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationAdministrationEuHdr	Administration of medication to a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ProcedureEuHdr	An action that is being or was performed on a patient
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	OrganizationEuCore	A grouping of people or organizations with a common purpose
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.0)	Sample for analysis
entry:familyMemberHistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FamilyMemberHistoryEuHdr	Information about patient's relatives, relevant for patient
entry:documentReference	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	DocumentReference	A resource in the bundle
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagEuHdr	Key information to flag to healthcare providers
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	LocationEuCore	Details and position information for a physical place
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
signature	Σ	0..1	Signature	Report Digital Signature
type	Σ	1..*	Coding	Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	Σ	1..1	instant	When was signed
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed.
data		0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceUseStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunizationRecommendation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:media.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationDispense.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationAdministration.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:familyMemberHistory.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:documentReference.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	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	error	Bundle	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-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-hdr-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first.	entry.tail().where(resource is Composition).empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Hospital Discharge Report bundle Constraints: bdl-hdr-1
identifier		1..1	Identifier	Instance identifier
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp		1..1	instant	Instance identifier
link		0..0		Links related to this Bundle
Slices for entry		3..*	BackboneElement	Entry resource in the Hospital Discharge Report bundle Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices				Content/Rules for all slices
fullUrl		1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Resource	A resource in the bundle
search		0..0		Search related information
request		0..0		Additional execution information (transaction/batch/history)
response		0..0		Results of execution (transaction/batch/history)
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CompositionEuHdr	Hospital Discharge Report composition
entry:patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:encounter		1..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	EncounterEuHdr	An interaction during which services are provided to the patient
entry:allergyIntolerance		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ConditionEuHdr	Detailed information about conditions, problems or diagnoses
entry:device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DeviceEuHdr	Item used in healthcare
entry:deviceUseStatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DeviceUseStatementEuHdr	Record of use of a device
entry:diagnosticReport		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportUvIps(2.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingStudy		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImagingStudyUvIps(2.0.0)	A set of images produced in single study (one or more series of references images)
entry:immunization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImmunizationEuHdr	Immunization event information
entry:immunizationRecommendation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImmunizationRecommendationEuHdr	Guidance or advice relating to an immunization
entry:media		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Media	A resource in the bundle
entry:medication		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationEuHdr	Definition of a Medication
entry:medicationRequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationRequestEuHdr	Ordering of medication for patient or group
entry:medicationStatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationStatementEuHdr	Record of medication being taken by a patient
entry:medicationDispense		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationDispenseEuHdr	Dispensing a medication to a named patient
entry:medicationAdministration		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	MedicationAdministrationEuHdr	Administration of medication to a patient
entry:practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:procedure		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ProcedureEuHdr	An action that is being or was performed on a patient
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	OrganizationEuCore	A grouping of people or organizations with a common purpose
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Observation	A resource in the bundle
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	SpecimenUvIps(2.0.0)	Sample for analysis
entry:familyMemberHistory		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	FamilyMemberHistoryEuHdr	Information about patient's relatives, relevant for patient
entry:documentReference		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DocumentReference	A resource in the bundle
entry:flag		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	FlagEuHdr	Key information to flag to healthcare providers
entry:location		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	LocationEuCore	Details and position information for a physical place
entry:careplan		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CarePlan	A resource in the bundle
signature		0..1	Signature	Report Digital Signature
type		1..*	Coding	Digital Signature Purposes
when		1..1	instant	When was signed
who		1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed.
data		0..1	base64Binary	Signature content
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-hdr-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first.	entry.tail().where(resource is Composition).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Hospital Discharge Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-hdr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Instance identifier
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	Instance identifier
total	ΣC	0..1	unsignedInt	If search, the total number of matches
Slices for entry	ΣC	3..*	BackboneElement	Entry resource in the Hospital Discharge Report bundle Slice: Unordered, Open by type:resource, profile:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionEuHdr	Hospital Discharge Report composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:encounter	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	EncounterEuHdr	An interaction during which services are provided to the patient
entry:allergyIntolerance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	AllergyIntoleranceEuHdr	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ConditionEuHdr	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuHdr	Item used in healthcare
entry:deviceUseStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuHdr	Record of use of a device
entry:diagnosticReport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportUvIps(2.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingStudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.0)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationEuHdr	Immunization event information
entry:immunizationRecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationRecommendationEuHdr	Guidance or advice relating to an immunization
entry:media	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Media	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationEuHdr	Definition of a Medication
entry:medicationRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationRequestEuHdr	Ordering of medication for patient or group
entry:medicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationStatementEuHdr	Record of medication being taken by a patient
entry:medicationDispense	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationDispenseEuHdr	Dispensing a medication to a named patient
entry:medicationAdministration	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	MedicationAdministrationEuHdr	Administration of medication to a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ProcedureEuHdr	An action that is being or was performed on a patient
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	OrganizationEuCore	A grouping of people or organizations with a common purpose
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.0)	Sample for analysis
entry:familyMemberHistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FamilyMemberHistoryEuHdr	Information about patient's relatives, relevant for patient
entry:documentReference	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	DocumentReference	A resource in the bundle
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagEuHdr	Key information to flag to healthcare providers
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	LocationEuCore	Details and position information for a physical place
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
signature	Σ	0..1	Signature	Report Digital Signature
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..*	Coding	Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	Σ	1..1	instant	When was signed
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed.
onBehalfOf	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	The party represented
targetFormat		0..1	code	The technical format of the signed resources Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
sigFormat		0..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data		0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceUseStatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:deviceUseStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingStudy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:imagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunizationRecommendation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:immunizationRecommendation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:media.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:media.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationRequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationStatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationDispense.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationDispense.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationAdministration.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationAdministration.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:familyMemberHistory.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:familyMemberHistory.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:documentReference.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:documentReference.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.
Bundle.signature.targetFormat	Base	required	MimeType	📍4.0.1	FHIR Std.
Bundle.signature.sigFormat	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	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	error	Bundle	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-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:encounter, Bundle.entry:allergyIntolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceUseStatement, Bundle.entry:diagnosticReport, Bundle.entry:imagingStudy, Bundle.entry:immunization, Bundle.entry:immunizationRecommendation, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationRequest, Bundle.entry:medicationStatement, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag, Bundle.entry:location, Bundle.entry:careplan	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
bdl-hdr-1	error	Bundle	An IPS document must have no additional Composition (including Composition subclass) resources besides the first.	entry.tail().where(resource is Composition).empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 6 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• Composition (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Encounter (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr)
• Allergy Intolerance (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-eu-hdr)
• Condition (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/condition-eu-hdr)
• Device (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/device-eu-hdr)
• DeviceUseStatement (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/deviceUseStatement-eu-hdr)
• DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
• ImagingStudy (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips)
• Immunization (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/immunization-eu-hdr)
• ImmunizationRecommendation (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/immunizationRecommendation-eu-hdr)
• Medication (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medication-eu-hdr)
• MedicationRequest (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationRequest-eu-hdr)
• MedicationStatement (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationStatement-eu-hdr)
• MedicationDispense (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationDispense-eu-hdr)
• MedicationAdministration (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Procedure (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)
• Specimen (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips)
• FamilyMemberHistory (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/familyMemberHistory-eu-hdr)
• Flag (HDR) (http://hl7.eu/fhir/hdr/StructureDefinition/flag-eu-hdr)
• Location (EU core) (http://hl7.eu/fhir/base/StructureDefinition/location-eu-core)

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of Bundle.entry