XpanDH Hospital Discharge Report
0.1.0 - ci-build 150

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

## Resource Profile: Bundle: EU Hospital Discharge Report

Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Bundle-hdr-xpandh | Version: 0.1.0
Draft as of 2025-10-10 | Computable Name: BundleHdrXpandh
Copyright/Legal: XpanDH Project

Clinical document used to represent a Hospital Discharge Report for the scope of the XpanDH project.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

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-ips-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
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 | S Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | S Σ C | 2..* | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
entry:composition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CompositionHdrXpandh | Hospital Discharge Report composition
entry:patient | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PatientXpandh | Information about an individual or animal receiving health care services
entry:allergyintolerance | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ConditionUvIps, Condition | Documentation of a health problem of the patient
entry:device | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Device | A resource in the bundle
entry:deviceusestatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DeviceUseStatementUvIps | Record of use of a device
entry:diagnosticreport | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DiagnosticReportUvIps | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingstudy | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImagingStudyUvIps | A set of images produced in single study (one or more series of references images)
entry:immunization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImmunizationUvIps | Immunization event information
entry:media | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MediaObservationUvIps | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
entry:medication | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationIPS | Definition of a Medication
entry:medicationrequest | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationRequestIPS | Ordering of medication for patient or group
entry:medicationstatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationStatementIPS | Record of medication being taken by a patient
entry:practitioner | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerXpandh | A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerRoleXpandh | Roles/organizations the practitioner is associated with
entry:procedure | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ProcedureUvIps | An action that is being or was performed on a patient
entry:organization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | OrganizationUvIps | A grouping of people or organizations with a common purpose
entry:observation-pregnancy-edd | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyEddUvIps | Measurements and simple assertions
entry:observation-pregnancy-outcome | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyOutcomeUvIps | Measurements and simple assertions
entry:observation-pregnancy-status | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyStatusUvIps | Measurements and simple assertions
entry:observation-alcohol-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationAlcoholUseUvIps | Measurements and simple assertions
entry:observation-tobacco-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationTobaccoUseUvIps | Measurements and simple assertions
entry:observation-results | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationResultsUvIps | Measurements and simple assertions
entry:specimen | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SpecimenUvIps | Sample for analysis
entry:medicationDispense | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationDispense | A resource in the bundle
entry:medicationAdministration | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationAdministration | A resource in the bundle
entry:familyMemberHistory | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | FamilyMemberHistory | A resource in the bundle
entry:documentReference | Σ C | 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 | S 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 | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | FlagXpandh | Key information to flag to healthcare providers
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: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: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: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-pregnancy-edd.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-results.​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: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: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.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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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-ips-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-ips-1
identifier | S | 1..1 | Identifier | Persistent identifier for the bundle
type |  | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp | S | 1..1 | instant | When the bundle was assembled
link |  | 0..0 |  |
Slices for entry | S | 2..* | 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 | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
search |  | 0..0 |  |
request |  | 0..0 |  |
response |  | 0..0 |  |
entry:composition |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CompositionHdrXpandh | Hospital Discharge Report composition
entry:patient |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | PatientXpandh | Information about an individual or animal receiving health care services
entry:allergyintolerance |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | AllergyIntoleranceUvIps | 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 | ConditionUvIps, Condition | Documentation of a health problem of the patient
entry:device |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | Device | A resource in the bundle
entry:deviceusestatement |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | DeviceUseStatementUvIps | Record of use of a device
entry:diagnosticreport |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | DiagnosticReportUvIps | 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 | 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 | ImmunizationUvIps | Immunization event information
entry:media |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MediaObservationUvIps | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
entry:medication |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationIPS | Definition of a Medication
entry:medicationrequest |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationRequestIPS | Ordering of medication for patient or group
entry:medicationstatement |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationStatementIPS | Record of medication being taken by a patient
entry:practitioner |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | PractitionerXpandh | 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 | PractitionerRoleXpandh | Roles/organizations the practitioner is associated with
entry:procedure |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ProcedureUvIps | 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 | OrganizationUvIps | A grouping of people or organizations with a common purpose
entry:observation-pregnancy-edd |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationPregnancyEddUvIps | Measurements and simple assertions
entry:observation-pregnancy-outcome |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationPregnancyOutcomeUvIps | Measurements and simple assertions
entry:observation-pregnancy-status |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationPregnancyStatusUvIps | Measurements and simple assertions
entry:observation-alcohol-use |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationAlcoholUseUvIps | Measurements and simple assertions
entry:observation-tobacco-use |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationTobaccoUseUvIps | Measurements and simple assertions
entry:observation-results |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationResultsUvIps | Measurements and simple assertions
entry:specimen |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | SpecimenUvIps | Sample for analysis
entry:medicationDispense |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationDispense | A resource in the bundle
entry:medicationAdministration |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationAdministration | A resource in the bundle
entry:familyMemberHistory |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | FamilyMemberHistory | A resource in the bundle
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 | FlagXpandh | Key information to flag to healthcare providers
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-ips-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-ips-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 | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
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 | S Σ | 1..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
Slices for entry | S Σ C | 2..* | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 0..1 | Resource | A resource in the bundle
entry:composition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CompositionHdrXpandh | Hospital Discharge Report composition
entry:patient | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PatientXpandh | Information about an individual or animal receiving health care services
entry:allergyintolerance | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ConditionUvIps, Condition | Documentation of a health problem of the patient
entry:device | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Device | A resource in the bundle
entry:deviceusestatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DeviceUseStatementUvIps | Record of use of a device
entry:diagnosticreport | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DiagnosticReportUvIps | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingstudy | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImagingStudyUvIps | A set of images produced in single study (one or more series of references images)
entry:immunization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImmunizationUvIps | Immunization event information
entry:media | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MediaObservationUvIps | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
entry:medication | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationIPS | Definition of a Medication
entry:medicationrequest | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationRequestIPS | Ordering of medication for patient or group
entry:medicationstatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationStatementIPS | Record of medication being taken by a patient
entry:practitioner | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerXpandh | A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerRoleXpandh | Roles/organizations the practitioner is associated with
entry:procedure | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ProcedureUvIps | An action that is being or was performed on a patient
entry:organization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | OrganizationUvIps | A grouping of people or organizations with a common purpose
entry:observation-pregnancy-edd | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyEddUvIps | Measurements and simple assertions
entry:observation-pregnancy-outcome | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyOutcomeUvIps | Measurements and simple assertions
entry:observation-pregnancy-status | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyStatusUvIps | Measurements and simple assertions
entry:observation-alcohol-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationAlcoholUseUvIps | Measurements and simple assertions
entry:observation-tobacco-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationTobaccoUseUvIps | Measurements and simple assertions
entry:observation-results | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationResultsUvIps | Measurements and simple assertions
entry:specimen | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SpecimenUvIps | Sample for analysis
entry:medicationDispense | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationDispense | A resource in the bundle
entry:medicationAdministration | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationAdministration | A resource in the bundle
entry:familyMemberHistory | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | FamilyMemberHistory | A resource in the bundle
entry:documentReference | Σ C | 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 | S 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 | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | FlagXpandh | Key information to flag to healthcare providers
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: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: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: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-pregnancy-edd.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-edd.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-status.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-alcohol-use.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-tobacco-use.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-results.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-results.​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: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: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.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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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-ips-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(28 nested mandatory elements)
Must-Support: 4 elements
Fixed: 1 element
Prohibited: 4 elements

Structures

This structure refers to these other structures:

- Composition: Hospital Discharge Report (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Composition-hdr-eu-xpandh)
- Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
- Allergy Intolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
- Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)
- Device Use Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips)
- DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
- Imaging Study (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips)
- Immunization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips)
- Media observation (Results: laboratory, media) (http://hl7.org/fhir/uv/ips/StructureDefinition/Media-observation-uv-ips)
- Medication (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips)
- Medication Request (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips)
- Medication Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips)
- Practitioner (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Practitioner-eu-xpandh)
- PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)
- Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips)
- Organization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips)
- Observation - Pregnancy: EDD (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-edd-uv-ips)
- Observation - Pregnancy: outcome (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips)
- Observation - Pregnancy: status (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips)
- Observation - SH: alcohol use (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips)
- Observation - SH: tobacco use (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips)
- Observation Results (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips)
- Specimen (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips)
- Flag (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Flag-eu-xpandh)

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-ips-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
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 | S Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | S Σ C | 2..* | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
entry:composition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CompositionHdrXpandh | Hospital Discharge Report composition
entry:patient | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PatientXpandh | Information about an individual or animal receiving health care services
entry:allergyintolerance | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ConditionUvIps, Condition | Documentation of a health problem of the patient
entry:device | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Device | A resource in the bundle
entry:deviceusestatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DeviceUseStatementUvIps | Record of use of a device
entry:diagnosticreport | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DiagnosticReportUvIps | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingstudy | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImagingStudyUvIps | A set of images produced in single study (one or more series of references images)
entry:immunization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImmunizationUvIps | Immunization event information
entry:media | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MediaObservationUvIps | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
entry:medication | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationIPS | Definition of a Medication
entry:medicationrequest | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationRequestIPS | Ordering of medication for patient or group
entry:medicationstatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationStatementIPS | Record of medication being taken by a patient
entry:practitioner | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerXpandh | A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerRoleXpandh | Roles/organizations the practitioner is associated with
entry:procedure | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ProcedureUvIps | An action that is being or was performed on a patient
entry:organization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | OrganizationUvIps | A grouping of people or organizations with a common purpose
entry:observation-pregnancy-edd | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyEddUvIps | Measurements and simple assertions
entry:observation-pregnancy-outcome | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyOutcomeUvIps | Measurements and simple assertions
entry:observation-pregnancy-status | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyStatusUvIps | Measurements and simple assertions
entry:observation-alcohol-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationAlcoholUseUvIps | Measurements and simple assertions
entry:observation-tobacco-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationTobaccoUseUvIps | Measurements and simple assertions
entry:observation-results | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationResultsUvIps | Measurements and simple assertions
entry:specimen | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SpecimenUvIps | Sample for analysis
entry:medicationDispense | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationDispense | A resource in the bundle
entry:medicationAdministration | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationAdministration | A resource in the bundle
entry:familyMemberHistory | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | FamilyMemberHistory | A resource in the bundle
entry:documentReference | Σ C | 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 | S 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 | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | FlagXpandh | Key information to flag to healthcare providers
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: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: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: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-pregnancy-edd.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-results.​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: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: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.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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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-ips-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-ips-1
identifier | S | 1..1 | Identifier | Persistent identifier for the bundle
type |  | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp | S | 1..1 | instant | When the bundle was assembled
link |  | 0..0 |  |
Slices for entry | S | 2..* | 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 | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
search |  | 0..0 |  |
request |  | 0..0 |  |
response |  | 0..0 |  |
entry:composition |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CompositionHdrXpandh | Hospital Discharge Report composition
entry:patient |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | PatientXpandh | Information about an individual or animal receiving health care services
entry:allergyintolerance |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | AllergyIntoleranceUvIps | 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 | ConditionUvIps, Condition | Documentation of a health problem of the patient
entry:device |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | Device | A resource in the bundle
entry:deviceusestatement |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | DeviceUseStatementUvIps | Record of use of a device
entry:diagnosticreport |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | DiagnosticReportUvIps | 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 | 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 | ImmunizationUvIps | Immunization event information
entry:media |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MediaObservationUvIps | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
entry:medication |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationIPS | Definition of a Medication
entry:medicationrequest |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationRequestIPS | Ordering of medication for patient or group
entry:medicationstatement |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationStatementIPS | Record of medication being taken by a patient
entry:practitioner |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | PractitionerXpandh | 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 | PractitionerRoleXpandh | Roles/organizations the practitioner is associated with
entry:procedure |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ProcedureUvIps | 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 | OrganizationUvIps | A grouping of people or organizations with a common purpose
entry:observation-pregnancy-edd |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationPregnancyEddUvIps | Measurements and simple assertions
entry:observation-pregnancy-outcome |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationPregnancyOutcomeUvIps | Measurements and simple assertions
entry:observation-pregnancy-status |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationPregnancyStatusUvIps | Measurements and simple assertions
entry:observation-alcohol-use |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationAlcoholUseUvIps | Measurements and simple assertions
entry:observation-tobacco-use |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationTobaccoUseUvIps | Measurements and simple assertions
entry:observation-results |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | ObservationResultsUvIps | Measurements and simple assertions
entry:specimen |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | SpecimenUvIps | Sample for analysis
entry:medicationDispense |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationDispense | A resource in the bundle
entry:medicationAdministration |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | MedicationAdministration | A resource in the bundle
entry:familyMemberHistory |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | FamilyMemberHistory | A resource in the bundle
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 | FlagXpandh | Key information to flag to healthcare providers
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-ips-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-ips-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 | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
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 | S Σ | 1..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
Slices for entry | S Σ C | 2..* | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 0..1 | Resource | A resource in the bundle
entry:composition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CompositionHdrXpandh | Hospital Discharge Report composition
entry:patient | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PatientXpandh | Information about an individual or animal receiving health care services
entry:allergyintolerance | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | AllergyIntoleranceUvIps | Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:condition | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ConditionUvIps, Condition | Documentation of a health problem of the patient
entry:device | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Device | A resource in the bundle
entry:deviceusestatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DeviceUseStatementUvIps | Record of use of a device
entry:diagnosticreport | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | DiagnosticReportUvIps | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:imagingstudy | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImagingStudyUvIps | A set of images produced in single study (one or more series of references images)
entry:immunization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ImmunizationUvIps | Immunization event information
entry:media | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MediaObservationUvIps | A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
entry:medication | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationIPS | Definition of a Medication
entry:medicationrequest | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationRequestIPS | Ordering of medication for patient or group
entry:medicationstatement | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | MedicationStatementIPS | Record of medication being taken by a patient
entry:practitioner | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerXpandh | A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PractitionerRoleXpandh | Roles/organizations the practitioner is associated with
entry:procedure | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ProcedureUvIps | An action that is being or was performed on a patient
entry:organization | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | OrganizationUvIps | A grouping of people or organizations with a common purpose
entry:observation-pregnancy-edd | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyEddUvIps | Measurements and simple assertions
entry:observation-pregnancy-outcome | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyOutcomeUvIps | Measurements and simple assertions
entry:observation-pregnancy-status | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationPregnancyStatusUvIps | Measurements and simple assertions
entry:observation-alcohol-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationAlcoholUseUvIps | Measurements and simple assertions
entry:observation-tobacco-use | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationTobaccoUseUvIps | Measurements and simple assertions
entry:observation-results | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | ObservationResultsUvIps | Measurements and simple assertions
entry:specimen | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SpecimenUvIps | Sample for analysis
entry:medicationDispense | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationDispense | A resource in the bundle
entry:medicationAdministration | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | MedicationAdministration | A resource in the bundle
entry:familyMemberHistory | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | FamilyMemberHistory | A resource in the bundle
entry:documentReference | Σ C | 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 | S 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 | Σ C | 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 | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | FlagXpandh | Key information to flag to healthcare providers
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: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: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: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-pregnancy-edd.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-edd.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-status.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-alcohol-use.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-tobacco-use.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-results.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation-results.​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: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: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.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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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:allergyintolerance, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:media, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:organization, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-results, Bundle.entry:specimen, Bundle.entry:medicationDispense, Bundle.entry:medicationAdministration, Bundle.entry:familyMemberHistory, Bundle.entry:documentReference, Bundle.entry:flag | 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-ips-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(28 nested mandatory elements)
Must-Support: 4 elements
Fixed: 1 element
Prohibited: 4 elements

Structures

This structure refers to these other structures:

- Composition: Hospital Discharge Report (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Composition-hdr-eu-xpandh)
- Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
- Allergy Intolerance (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips)
- Condition (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Condition-uv-ips)
- Device Use Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DeviceUseStatement-uv-ips)
- DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
- Imaging Study (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips)
- Immunization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Immunization-uv-ips)
- Media observation (Results: laboratory, media) (http://hl7.org/fhir/uv/ips/StructureDefinition/Media-observation-uv-ips)
- Medication (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Medication-uv-ips)
- Medication Request (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips)
- Medication Statement (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationStatement-uv-ips)
- Practitioner (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Practitioner-eu-xpandh)
- PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)
- Procedure (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Procedure-uv-ips)
- Organization (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips)
- Observation - Pregnancy: EDD (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-edd-uv-ips)
- Observation - Pregnancy: outcome (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips)
- Observation - Pregnancy: status (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-status-uv-ips)
- Observation - SH: alcohol use (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips)
- Observation - SH: tobacco use (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips)
- Observation Results (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-uv-ips)
- Specimen (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips)
- Flag (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Flag-eu-xpandh)

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron