FHIR Implementation Guide for ABDM - Local Development build (v6.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: INPSBundle

This profile sets minimum expectations for the DocumentBundle that includes all resources into a single instance with containing context to act as an exchangeable clinical document.

An 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 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:

• 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..*	DocumentBundle	International Patient Summary Bundle This profile also imposes the profile Bundle (IPS) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
meta	Σ	1..1	Meta	Metadata about the resource
versionId	Σ	1..1	id	Version specific identifier
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
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
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)
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	INPSPatient	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	INPSAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
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	INPSCondition	Detailed information about conditions, problems or diagnoses
entry:diagnosticreportlab	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	DiagnosticReportLab	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:diagnosticreportimaging	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	DiagnosticReportImaging	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	Σ	1..1	DocumentReference	A resource in the bundle
entry:familymemberhistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	FamilyMemberHistory	A resource in the bundle
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	INPSImmunization	Immunization event information
entry:immunizationrecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ImmunizationRecommendation	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedication	Definition of a Medication
entry:medicationrequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationRequest	Ordering of medication for patient or group
entry:medicationstatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationStatement	Record of medication being taken by a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitionerRole	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSProcedure	An action that is being or was performed on a patient
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSOrganization	A grouping of people or organizations with a common purpose
entry:servicerequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ServiceRequest	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSSpecimen	Sample for analysis
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 From the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:allergyintolerance.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:careplan.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:condition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportlab.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportimaging.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:documentreference.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:familymemberhistory.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunizationrecommendation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medication.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationrequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationstatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitionerrole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:procedure.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:observation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:servicerequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:specimen.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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)
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 DocumentBundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	DocumentBundle	International Patient Summary Bundle This profile also imposes the profile Bundle (IPS)
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
request		0..0
response		0..0
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
entry:patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSPatient	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	INPSAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:careplan		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CarePlan	A resource in the bundle
entry:condition		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSCondition	Detailed information about conditions, problems or diagnoses
entry:diagnosticreportlab		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportLab	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:diagnosticreportimaging		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportImaging	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	DocumentReference	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:immunization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSImmunization	Immunization event information
entry:immunizationrecommendation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImmunizationRecommendation	A resource in the bundle
entry:medication		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSMedication	Definition of a Medication
entry:medicationrequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSMedicationRequest	Ordering of medication for patient or group
entry:medicationstatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSMedicationStatement	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	INPSPractitioner	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	INPSPractitionerRole	Roles/organizations the practitioner is associated with
entry:procedure		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSProcedure	An action that is being or was performed on a patient
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Observation	A resource in the bundle
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSOrganization	A grouping of people or organizations with a common purpose
entry:servicerequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ServiceRequest	A resource in the bundle
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSSpecimen	Sample for analysis
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	DocumentBundle	International Patient Summary Bundle This profile also imposes the profile Bundle (IPS) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	1..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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
link	Σ	0..*	BackboneElement	Links related to this Bundle
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
relation	Σ	1..1	string	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url	Σ	1..1	uri	Reference details for the link
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	Σ	0..1	Resource	A resource in the bundle
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	INPSPatient	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	INPSAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
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	INPSCondition	Detailed information about conditions, problems or diagnoses
entry:diagnosticreportlab	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	DiagnosticReportLab	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:diagnosticreportimaging	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	DiagnosticReportImaging	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	Σ	1..1	DocumentReference	A resource in the bundle
entry:familymemberhistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	FamilyMemberHistory	A resource in the bundle
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	INPSImmunization	Immunization event information
entry:immunizationrecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ImmunizationRecommendation	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedication	Definition of a Medication
entry:medicationrequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationRequest	Ordering of medication for patient or group
entry:medicationstatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationStatement	Record of medication being taken by a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitionerRole	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSProcedure	An action that is being or was performed on a patient
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSOrganization	A grouping of people or organizations with a common purpose
entry:servicerequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ServiceRequest	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSSpecimen	Sample for analysis
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
Bundle.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|4.0.1 From the FHIR Standard
Bundle.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 From the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 From the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:allergyintolerance.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:allergyintolerance.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:careplan.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:careplan.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:condition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:condition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportlab.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportlab.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportimaging.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportimaging.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:documentreference.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:documentreference.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:familymemberhistory.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:familymemberhistory.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:immunization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunizationrecommendation.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:immunizationrecommendation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medication.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:medication.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationrequest.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:medicationrequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationstatement.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:medicationstatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitionerrole.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:practitionerrole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:procedure.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:procedure.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:observation.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:observation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:servicerequest.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:servicerequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:specimen.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:specimen.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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)
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 DocumentBundle

Summary

Mandatory: 3 elements(20 nested mandatory elements)
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• INPSPatient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-patient)
• INPSAllergyIntolerance (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-allergyintolerance)
• INPSCondition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-condition)
• DiagnosticReportLab (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab)
• DiagnosticReportImaging (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging)
• INPSImmunization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-immunization)
• INPSMedication (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-medication)
• INPSMedicationRequest (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-medicationrequest)
• INPSMedicationStatement (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-medicationstatement)
• INPSPractitioner (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-practitioner)
• INPSPractitionerRole (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-practitionerrole)
• INPSProcedure (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-procedure)
• INPSOrganization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-organization)
• INPSSpecimen (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-specimen)

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..*	DocumentBundle	International Patient Summary Bundle This profile also imposes the profile Bundle (IPS) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
meta	Σ	1..1	Meta	Metadata about the resource
versionId	Σ	1..1	id	Version specific identifier
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
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
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)
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	INPSPatient	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	INPSAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
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	INPSCondition	Detailed information about conditions, problems or diagnoses
entry:diagnosticreportlab	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	DiagnosticReportLab	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:diagnosticreportimaging	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	DiagnosticReportImaging	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	Σ	1..1	DocumentReference	A resource in the bundle
entry:familymemberhistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	FamilyMemberHistory	A resource in the bundle
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	INPSImmunization	Immunization event information
entry:immunizationrecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ImmunizationRecommendation	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedication	Definition of a Medication
entry:medicationrequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationRequest	Ordering of medication for patient or group
entry:medicationstatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationStatement	Record of medication being taken by a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitionerRole	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSProcedure	An action that is being or was performed on a patient
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSOrganization	A grouping of people or organizations with a common purpose
entry:servicerequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ServiceRequest	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSSpecimen	Sample for analysis
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 From the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:allergyintolerance.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:careplan.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:condition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportlab.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportimaging.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:documentreference.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:familymemberhistory.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunizationrecommendation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medication.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationrequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationstatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitionerrole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:procedure.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:observation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:servicerequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:specimen.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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)
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 DocumentBundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	DocumentBundle	International Patient Summary Bundle This profile also imposes the profile Bundle (IPS)
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
request		0..0
response		0..0
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
entry:patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSPatient	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	INPSAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:careplan		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CarePlan	A resource in the bundle
entry:condition		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSCondition	Detailed information about conditions, problems or diagnoses
entry:diagnosticreportlab		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportLab	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:diagnosticreportimaging		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportImaging	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	DocumentReference	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:immunization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSImmunization	Immunization event information
entry:immunizationrecommendation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ImmunizationRecommendation	A resource in the bundle
entry:medication		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSMedication	Definition of a Medication
entry:medicationrequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSMedicationRequest	Ordering of medication for patient or group
entry:medicationstatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSMedicationStatement	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	INPSPractitioner	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	INPSPractitionerRole	Roles/organizations the practitioner is associated with
entry:procedure		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSProcedure	An action that is being or was performed on a patient
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Observation	A resource in the bundle
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSOrganization	A grouping of people or organizations with a common purpose
entry:servicerequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ServiceRequest	A resource in the bundle
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	INPSSpecimen	Sample for analysis
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	DocumentBundle	International Patient Summary Bundle This profile also imposes the profile Bundle (IPS) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	1..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	SΣ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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
link	Σ	0..*	BackboneElement	Links related to this Bundle
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
relation	Σ	1..1	string	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url	Σ	1..1	uri	Reference details for the link
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	Σ	0..1	Resource	A resource in the bundle
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	INPSPatient	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	INPSAllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:careplan	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	CarePlan	A resource in the bundle
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	INPSCondition	Detailed information about conditions, problems or diagnoses
entry:diagnosticreportlab	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	DiagnosticReportLab	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:diagnosticreportimaging	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	DiagnosticReportImaging	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	Σ	1..1	DocumentReference	A resource in the bundle
entry:familymemberhistory	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	FamilyMemberHistory	A resource in the bundle
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	INPSImmunization	Immunization event information
entry:immunizationrecommendation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ImmunizationRecommendation	A resource in the bundle
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedication	Definition of a Medication
entry:medicationrequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationRequest	Ordering of medication for patient or group
entry:medicationstatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSMedicationStatement	Record of medication being taken by a patient
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerrole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSPractitionerRole	Roles/organizations the practitioner is associated with
entry:procedure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSProcedure	An action that is being or was performed on a patient
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Observation	A resource in the bundle
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSOrganization	A grouping of people or organizations with a common purpose
entry:servicerequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	ServiceRequest	A resource in the bundle
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	INPSSpecimen	Sample for analysis
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
Bundle.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|4.0.1 From the FHIR Standard
Bundle.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 From the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 From the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:allergyintolerance.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:allergyintolerance.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:careplan.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:careplan.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:condition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:condition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportlab.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportlab.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportimaging.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:diagnosticreportimaging.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:documentreference.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:documentreference.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:familymemberhistory.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:familymemberhistory.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:immunization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:immunizationrecommendation.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:immunizationrecommendation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medication.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:medication.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationrequest.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:medicationrequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:medicationstatement.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:medicationstatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:practitionerrole.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:practitionerrole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:procedure.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:procedure.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:observation.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:observation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:servicerequest.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:servicerequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard
Bundle.entry:specimen.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 From the FHIR Standard
Bundle.entry:specimen.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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:careplan, Bundle.entry:condition, Bundle.entry:diagnosticreportlab, Bundle.entry:diagnosticreportimaging, Bundle.entry:documentreference, Bundle.entry:familymemberhistory, Bundle.entry:immunization, Bundle.entry:immunizationrecommendation, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:servicerequest, Bundle.entry:specimen	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)
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 DocumentBundle

Summary

Mandatory: 3 elements(20 nested mandatory elements)
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• INPSPatient (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-patient)
• INPSAllergyIntolerance (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-allergyintolerance)
• INPSCondition (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-condition)
• DiagnosticReportLab (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportLab)
• DiagnosticReportImaging (https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging)
• INPSImmunization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-immunization)
• INPSMedication (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-medication)
• INPSMedicationRequest (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-medicationrequest)
• INPSMedicationStatement (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-medicationstatement)
• INPSPractitioner (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-practitioner)
• INPSPractitionerRole (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-practitionerrole)
• INPSProcedure (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-procedure)
• INPSOrganization (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-organization)
• INPSSpecimen (https://nrces.in/ndhm/fhir/r4/StructureDefinition/in-ps-specimen)

Slices

This structure defines the following Slices:

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