Medtech ALEX® Implementation Guide
0.0.1 - draft International flag

Medtech ALEX® Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Medtech IPS

Official URL: https://fhir.medtechglobal.com/StructureDefinition/medtech-ips-bundle Version: 0.0.1
Draft as of 2026-04-17 Computable Name: MedtechIpsBundle

This profile represents the constraints applied to the Bundle resource by the Medtech FHIR International Patient Summary (IPS)

An International Patient Summary (IPS) bundle is an electronic health record extract containing essential healthcare information about a subject of care, comprising at least the required elements of the IPS dataset. The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. As specified in EN 17269 and ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care', but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle International Patient Summary 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 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
... Slices for entry ΣC 2..* BackboneElement Entry resource in the patient summary bundle
Slice: Unordered, Open by type:resource, profile:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
.... entry:composition ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechComposition A set of resources composed into a single coherent clinical statement with clinical attestation
.... entry:patient ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPatient Information about an individual or animal receiving health care services
.... entry:allergyintolerance ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
.... entry:condition ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechCondition Detailed information about conditions, problems or diagnoses
.... entry:device ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDevice Item used in healthcare
.... entry:diagnosticreport ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:documentreference ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDocumentReference A reference to a document
.... entry:immunization ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechImmunization Immunization event information
.... entry:medicationstatement ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechMedicationStatement Record of medication being taken by a patient
.... entry:practitionerrole ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPractitionerRole Roles/organizations the practitioner is associated with
.... entry:observation ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechScreeningObservation Measurements and simple assertions

doco 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:diagnosticreport.​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:immunization.​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:practitionerrole.​request.method Base required HTTPVerb 📍4.0.1 FHIR Std.
Bundle.entry:observation.​request.method Base required HTTPVerb 📍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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle International Patient Summary Bundle
Constraints: bdl-ips-1
... identifier 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 1..1 instant When the bundle was assembled
... Slices for entry 2..* BackboneElement Entry resource in the patient summary bundle
Slice: Unordered, Open by type:resource, profile:resource
.... entry:All Slices Content/Rules for all slices
..... fullUrl 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... search 0..0 Search related information
..... request 0..0 Additional execution information (transaction/batch/history)
..... response 0..0 Results of execution (transaction/batch/history)
.... entry:composition 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechComposition A set of resources composed into a single coherent clinical statement with clinical attestation
.... entry:patient 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechPatient 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 MedtechAllergyIntolerance 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 MedtechCondition Detailed information about conditions, problems or diagnoses
.... entry:device 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechDevice Item used in healthcare
.... entry:diagnosticreport 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:documentreference 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechDocumentReference A reference to a document
.... entry:immunization 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechImmunization Immunization event information
.... entry:medicationstatement 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechMedicationStatement Record of medication being taken by a patient
.... entry:practitionerrole 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechPractitionerRole Roles/organizations the practitioner is associated with
.... entry:observation 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechScreeningObservation Measurements and simple assertions

doco 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()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle International Patient Summary 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
... identifier 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 Σ 1..1 instant When the bundle was assembled
... total ΣC 0..1 unsignedInt If search, the total number of matches
... Slices for entry ΣC 2..* BackboneElement Entry resource in the patient summary bundle
Slice: Unordered, Open by type:resource, profile:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ 0..1 Resource A resource in the bundle
.... entry:composition ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechComposition A set of resources composed into a single coherent clinical statement with clinical attestation
.... entry:patient ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPatient Information about an individual or animal receiving health care services
.... entry:allergyintolerance ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
.... entry:condition ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechCondition Detailed information about conditions, problems or diagnoses
.... entry:device ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDevice Item used in healthcare
.... entry:diagnosticreport ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:documentreference ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDocumentReference A reference to a document
.... entry:immunization ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechImmunization Immunization event information
.... entry:medicationstatement ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechMedicationStatement Record of medication being taken by a patient
.... entry:practitionerrole ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPractitionerRole Roles/organizations the practitioner is associated with
.... entry:observation ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechScreeningObservation Measurements and simple assertions
... signature Σ 0..1 Signature Digital Signature

doco 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: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: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: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: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: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:observation.​search.mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry:observation.​request.method Base required HTTPVerb 📍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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle International Patient Summary 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 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
... Slices for entry ΣC 2..* BackboneElement Entry resource in the patient summary bundle
Slice: Unordered, Open by type:resource, profile:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
.... entry:composition ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechComposition A set of resources composed into a single coherent clinical statement with clinical attestation
.... entry:patient ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPatient Information about an individual or animal receiving health care services
.... entry:allergyintolerance ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
.... entry:condition ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechCondition Detailed information about conditions, problems or diagnoses
.... entry:device ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDevice Item used in healthcare
.... entry:diagnosticreport ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:documentreference ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDocumentReference A reference to a document
.... entry:immunization ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechImmunization Immunization event information
.... entry:medicationstatement ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechMedicationStatement Record of medication being taken by a patient
.... entry:practitionerrole ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPractitionerRole Roles/organizations the practitioner is associated with
.... entry:observation ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechScreeningObservation Measurements and simple assertions

doco 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:diagnosticreport.​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:immunization.​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:practitionerrole.​request.method Base required HTTPVerb 📍4.0.1 FHIR Std.
Bundle.entry:observation.​request.method Base required HTTPVerb 📍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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle International Patient Summary Bundle
Constraints: bdl-ips-1
... identifier 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 1..1 instant When the bundle was assembled
... Slices for entry 2..* BackboneElement Entry resource in the patient summary bundle
Slice: Unordered, Open by type:resource, profile:resource
.... entry:All Slices Content/Rules for all slices
..... fullUrl 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... search 0..0 Search related information
..... request 0..0 Additional execution information (transaction/batch/history)
..... response 0..0 Results of execution (transaction/batch/history)
.... entry:composition 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechComposition A set of resources composed into a single coherent clinical statement with clinical attestation
.... entry:patient 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechPatient 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 MedtechAllergyIntolerance 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 MedtechCondition Detailed information about conditions, problems or diagnoses
.... entry:device 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechDevice Item used in healthcare
.... entry:diagnosticreport 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:documentreference 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechDocumentReference A reference to a document
.... entry:immunization 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechImmunization Immunization event information
.... entry:medicationstatement 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechMedicationStatement Record of medication being taken by a patient
.... entry:practitionerrole 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechPractitionerRole Roles/organizations the practitioner is associated with
.... entry:observation 0..* BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 MedtechScreeningObservation Measurements and simple assertions

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle International Patient Summary 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
... identifier 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 Σ 1..1 instant When the bundle was assembled
... total ΣC 0..1 unsignedInt If search, the total number of matches
... Slices for entry ΣC 2..* BackboneElement Entry resource in the patient summary bundle
Slice: Unordered, Open by type:resource, profile:resource
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ 0..1 Resource A resource in the bundle
.... entry:composition ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechComposition A set of resources composed into a single coherent clinical statement with clinical attestation
.... entry:patient ΣC 1..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPatient Information about an individual or animal receiving health care services
.... entry:allergyintolerance ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechAllergyIntolerance Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
.... entry:condition ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechCondition Detailed information about conditions, problems or diagnoses
.... entry:device ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDevice Item used in healthcare
.... entry:diagnosticreport ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
.... entry:documentreference ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechDocumentReference A reference to a document
.... entry:immunization ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechImmunization Immunization event information
.... entry:medicationstatement ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechMedicationStatement Record of medication being taken by a patient
.... entry:practitionerrole ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechPractitionerRole Roles/organizations the practitioner is associated with
.... entry:observation ΣC 0..* BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... link Σ 0..* See link (Bundle) Links related to this entry
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 MedtechScreeningObservation Measurements and simple assertions
... signature Σ 0..1 Signature Digital Signature

doco 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: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: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: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: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: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:observation.​search.mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry:observation.​request.method Base required HTTPVerb 📍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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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:diagnosticreport, Bundle.entry:documentreference, Bundle.entry:immunization, Bundle.entry:medicationstatement, Bundle.entry:practitionerrole, Bundle.entry:observation 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

 

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