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Resource Profile: Patient Summary Bundle (Praxis DE)

Stable Praxis package entry point for an EPS document Bundle. The EPS parent supplies the IPS Bundle imposition; this profile adds no Germany-specific clinical constraint.

Usages:

• Examples for this Profile: Bundle/patient-summary-missing-data and Bundle/patient-summary-required-sections

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..*	BundleEuEps	Patient Summary bundle This profile also imposes the profile Bundle (IPS) (2.0.1) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, eps-bundle-patient-ref, eps-bundle-subject-ref, eps-bundle-resource-code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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.
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)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	OΣC	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 Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS) SHOULD:display Consumer (IPS) from Bundle (EPS)
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	PraxisPatientSummaryComposition	Patient Summary composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuEps	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	AllergyIntoleranceOblEuEps	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	ConditionOblEuEps	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuEps	Item used in healthcare
entry:deviceusestatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuEps	Record of use of a device
entry:diagnosticreport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportEuEps	Diagnostic Report EU core
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagAlertOblEuEps	Key information to flag to healthcare providers
entry:imagingstudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.1)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationOblEuEps	Immunization event information
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	MedicationOblEuEps	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	MedicationRequestOblEuEps	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	MedicationStatementEuEps	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	PractitionerOblEuEps	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	PractitionerRoleOblEuEps	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	ProcedureEuEps	An action that is being or was performed on a patient
entry:observation-pregnancy-edd	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	ObservationPregnancyEddEuEps	Measurements and simple assertions
entry:observation-pregnancy-outcome	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	ObservationPregnancyOutcomeEuEps	Measurements and simple assertions
entry:observation-pregnancy-status	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	ObservationPregnancyStatusEuEps	Measurements and simple assertions
entry:observation-alcohol-use	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	ObservationAlcoholUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-tobacco-use	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	ObservationTobaccoUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-vital-signs	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	observation-vitalsigns	FHIR Vital Signs Profile
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	OrganizationOblEuEps	A grouping of people or organizations with a common purpose
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.1)	Sample for analysis
entry:observation-pregnancy-age	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	ObservationPregnancyGestationalAgeEuEps	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyintolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceusestatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticreport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingstudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationrequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationstatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerrole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-edd.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-vital-signs.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-age.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:allergyintolerance, Bundle.entry:careplan, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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())
eps-bundle-patient-ref	error	Bundle	If the Bundle contains patient-based resources (AllergyIntolerance, Immunization, ImmunizationRecommendation), each SHALL have patient.reference populated.	entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).empty() or entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).all(resource.patient.reference.exists())
eps-bundle-resource-code	error	Bundle	For the IPS some resources require a code element. If the Bundle contains such resources (e.g. Medication), they SHALL have code populated.	entry.where( resource.is(Medication) ).empty() or entry.where( resource.is(Medication) ).all(resource.code.exists())
eps-bundle-subject-ref	error	Bundle	If the Bundle contains subject-based clinical resources, each SHALL have subject.reference populated.	entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).empty() or entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).all(resource.subject.reference.exists())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from BundleEuEps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	BundleEuEps	Patient Summary bundle This profile also imposes the profile Bundle (IPS) (2.0.1)
Slices for entry				Content/Rules for all slices
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PraxisPatientSummaryComposition	Patient Summary composition
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	BundleEuEps	Patient Summary bundle This profile also imposes the profile Bundle (IPS) (2.0.1) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, eps-bundle-patient-ref, eps-bundle-subject-ref, eps-bundle-resource-code
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	OΣ	0..1	Identifier	Persistent identifier for the bundle Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS)
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.
timestamp	OΣ	0..1	instant	When the bundle was assembled Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS)
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	1..1	Resource	A resource in the bundle
entry:composition	OΣC	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 Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS) SHOULD:display Consumer (IPS) from Bundle (EPS)
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	PraxisPatientSummaryComposition	Patient Summary composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuEps	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	AllergyIntoleranceOblEuEps	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	ConditionOblEuEps	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuEps	Item used in healthcare
entry:deviceusestatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuEps	Record of use of a device
entry:diagnosticreport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportEuEps	Diagnostic Report EU core
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagAlertOblEuEps	Key information to flag to healthcare providers
entry:imagingstudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.1)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationOblEuEps	Immunization event information
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	MedicationOblEuEps	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	MedicationRequestOblEuEps	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	MedicationStatementEuEps	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	PractitionerOblEuEps	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	PractitionerRoleOblEuEps	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	ProcedureEuEps	An action that is being or was performed on a patient
entry:observation-pregnancy-edd	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	ObservationPregnancyEddEuEps	Measurements and simple assertions
entry:observation-pregnancy-outcome	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	ObservationPregnancyOutcomeEuEps	Measurements and simple assertions
entry:observation-pregnancy-status	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	ObservationPregnancyStatusEuEps	Measurements and simple assertions
entry:observation-alcohol-use	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	ObservationAlcoholUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-tobacco-use	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	ObservationTobaccoUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-vital-signs	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	observation-vitalsigns	FHIR Vital Signs Profile
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	OrganizationOblEuEps	A grouping of people or organizations with a common purpose
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.1)	Sample for analysis
entry:observation-pregnancy-age	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	ObservationPregnancyGestationalAgeEuEps	Measurements and simple assertions
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyintolerance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyintolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceusestatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:deviceusestatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticreport.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticreport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingstudy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:imagingstudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationrequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationrequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationstatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationstatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerrole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerrole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-edd.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-edd.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-status.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-alcohol-use.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-tobacco-use.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-vital-signs.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-vital-signs.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-age.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-age.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:allergyintolerance, Bundle.entry:careplan, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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())
eps-bundle-patient-ref	error	Bundle	If the Bundle contains patient-based resources (AllergyIntolerance, Immunization, ImmunizationRecommendation), each SHALL have patient.reference populated.	entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).empty() or entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).all(resource.patient.reference.exists())
eps-bundle-resource-code	error	Bundle	For the IPS some resources require a code element. If the Bundle contains such resources (e.g. Medication), they SHALL have code populated.	entry.where( resource.is(Medication) ).empty() or entry.where( resource.is(Medication) ).all(resource.code.exists())
eps-bundle-subject-ref	error	Bundle	If the Bundle contains subject-based clinical resources, each SHALL have subject.reference populated.	entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).empty() or entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).all(resource.subject.reference.exists())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from BundleEuEps

Summary

Structures

This structure refers to these other structures:

• Patient Summary Composition (Praxis DE) (https://fhir.cognovis.de/praxis/StructureDefinition/patient-summary-composition-praxis-de)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	BundleEuEps	Patient Summary bundle This profile also imposes the profile Bundle (IPS) (2.0.1) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, eps-bundle-patient-ref, eps-bundle-subject-ref, eps-bundle-resource-code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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.
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)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	OΣC	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 Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS) SHOULD:display Consumer (IPS) from Bundle (EPS)
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	PraxisPatientSummaryComposition	Patient Summary composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuEps	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	AllergyIntoleranceOblEuEps	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	ConditionOblEuEps	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuEps	Item used in healthcare
entry:deviceusestatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuEps	Record of use of a device
entry:diagnosticreport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportEuEps	Diagnostic Report EU core
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagAlertOblEuEps	Key information to flag to healthcare providers
entry:imagingstudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.1)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationOblEuEps	Immunization event information
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	MedicationOblEuEps	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	MedicationRequestOblEuEps	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	MedicationStatementEuEps	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	PractitionerOblEuEps	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	PractitionerRoleOblEuEps	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	ProcedureEuEps	An action that is being or was performed on a patient
entry:observation-pregnancy-edd	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	ObservationPregnancyEddEuEps	Measurements and simple assertions
entry:observation-pregnancy-outcome	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	ObservationPregnancyOutcomeEuEps	Measurements and simple assertions
entry:observation-pregnancy-status	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	ObservationPregnancyStatusEuEps	Measurements and simple assertions
entry:observation-alcohol-use	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	ObservationAlcoholUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-tobacco-use	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	ObservationTobaccoUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-vital-signs	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	observation-vitalsigns	FHIR Vital Signs Profile
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	OrganizationOblEuEps	A grouping of people or organizations with a common purpose
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.1)	Sample for analysis
entry:observation-pregnancy-age	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	ObservationPregnancyGestationalAgeEuEps	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyintolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceusestatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticreport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingstudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationrequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationstatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerrole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-edd.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-vital-signs.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-age.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:allergyintolerance, Bundle.entry:careplan, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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())
eps-bundle-patient-ref	error	Bundle	If the Bundle contains patient-based resources (AllergyIntolerance, Immunization, ImmunizationRecommendation), each SHALL have patient.reference populated.	entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).empty() or entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).all(resource.patient.reference.exists())
eps-bundle-resource-code	error	Bundle	For the IPS some resources require a code element. If the Bundle contains such resources (e.g. Medication), they SHALL have code populated.	entry.where( resource.is(Medication) ).empty() or entry.where( resource.is(Medication) ).all(resource.code.exists())
eps-bundle-subject-ref	error	Bundle	If the Bundle contains subject-based clinical resources, each SHALL have subject.reference populated.	entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).empty() or entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).all(resource.subject.reference.exists())
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 BundleEuEps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	BundleEuEps	Patient Summary bundle This profile also imposes the profile Bundle (IPS) (2.0.1)
Slices for entry				Content/Rules for all slices
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PraxisPatientSummaryComposition	Patient Summary composition
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	BundleEuEps	Patient Summary bundle This profile also imposes the profile Bundle (IPS) (2.0.1) Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, eps-bundle-patient-ref, eps-bundle-subject-ref, eps-bundle-resource-code
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	OΣ	0..1	Identifier	Persistent identifier for the bundle Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS)
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.
timestamp	OΣ	0..1	instant	When the bundle was assembled Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS)
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	1..1	Resource	A resource in the bundle
entry:composition	OΣC	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 Obligations Actor Source SHALL:populate Creator (IPS) from Bundle (EPS) SHALL:handle Consumer (IPS) from Bundle (EPS) SHOULD:display Consumer (IPS) from Bundle (EPS)
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	PraxisPatientSummaryComposition	Patient Summary composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PatientEuEps	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	AllergyIntoleranceOblEuEps	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	ConditionOblEuEps	Detailed information about conditions, problems or diagnoses
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceEuEps	Item used in healthcare
entry:deviceusestatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DeviceUseStatementEuEps	Record of use of a device
entry:diagnosticreport	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportEuEps	Diagnostic Report EU core
entry:flag	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	FlagAlertOblEuEps	Key information to flag to healthcare providers
entry:imagingstudy	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImagingStudyUvIps(2.0.1)	A set of images produced in single study (one or more series of references images)
entry:immunization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ImmunizationOblEuEps	Immunization event information
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	MedicationOblEuEps	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	MedicationRequestOblEuEps	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	MedicationStatementEuEps	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	PractitionerOblEuEps	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	PractitionerRoleOblEuEps	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	ProcedureEuEps	An action that is being or was performed on a patient
entry:observation-pregnancy-edd	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	ObservationPregnancyEddEuEps	Measurements and simple assertions
entry:observation-pregnancy-outcome	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	ObservationPregnancyOutcomeEuEps	Measurements and simple assertions
entry:observation-pregnancy-status	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	ObservationPregnancyStatusEuEps	Measurements and simple assertions
entry:observation-alcohol-use	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	ObservationAlcoholUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-tobacco-use	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	ObservationTobaccoUseUvIps(2.0.1)	Measurements and simple assertions
entry:observation-vital-signs	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	observation-vitalsigns	FHIR Vital Signs Profile
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	OrganizationOblEuEps	A grouping of people or organizations with a common purpose
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenUvIps(2.0.1)	Sample for analysis
entry:observation-pregnancy-age	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	ObservationPregnancyGestationalAgeEuEps	Measurements and simple assertions
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyintolerance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyintolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:careplan.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:device.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:deviceusestatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:deviceusestatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticreport.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticreport.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:flag.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:flag.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:imagingstudy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:imagingstudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:immunization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationrequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationrequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medicationstatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medicationstatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerrole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerrole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-edd.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-edd.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-outcome.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-status.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-status.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-alcohol-use.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-alcohol-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-tobacco-use.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-tobacco-use.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-vital-signs.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-vital-signs.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-age.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation-pregnancy-age.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:allergyintolerance, Bundle.entry:careplan, Bundle.entry:condition, Bundle.entry:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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:device, Bundle.entry:deviceusestatement, Bundle.entry:diagnosticreport, Bundle.entry:flag, Bundle.entry:imagingstudy, Bundle.entry:immunization, Bundle.entry:medication, Bundle.entry:medicationrequest, Bundle.entry:medicationstatement, Bundle.entry:practitioner, Bundle.entry:practitionerrole, Bundle.entry:procedure, Bundle.entry:observation-pregnancy-edd, Bundle.entry:observation-pregnancy-outcome, Bundle.entry:observation-pregnancy-status, Bundle.entry:observation-alcohol-use, Bundle.entry:observation-tobacco-use, Bundle.entry:observation-vital-signs, Bundle.entry:organization, Bundle.entry:specimen, Bundle.entry:observation-pregnancy-age	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())
eps-bundle-patient-ref	error	Bundle	If the Bundle contains patient-based resources (AllergyIntolerance, Immunization, ImmunizationRecommendation), each SHALL have patient.reference populated.	entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).empty() or entry.where( resource.is(AllergyIntolerance) or resource.is(Immunization) or resource.is(Consent) or resource.is(ImmunizationRecommendation) ).all(resource.patient.reference.exists())
eps-bundle-resource-code	error	Bundle	For the IPS some resources require a code element. If the Bundle contains such resources (e.g. Medication), they SHALL have code populated.	entry.where( resource.is(Medication) ).empty() or entry.where( resource.is(Medication) ).all(resource.code.exists())
eps-bundle-subject-ref	error	Bundle	If the Bundle contains subject-based clinical resources, each SHALL have subject.reference populated.	entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).empty() or entry.where( resource.is(Composition) or resource.is(CarePlan) or resource.is(ClinicalImpression) or resource.is(Condition) or resource.is(DeviceUseStatement) or resource.is(DiagnosticReport) or resource.is(DocumentReference) or resource.is(Flag) or resource.is(ImagingStudy) or resource.is(MedicationRequest) or resource.is(MedicationStatement) or resource.is(Procedure) or resource.is(Observation) ).all(resource.subject.reference.exists())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from BundleEuEps

Summary

Structures

This structure refers to these other structures:

• Patient Summary Composition (Praxis DE) (https://fhir.cognovis.de/praxis/StructureDefinition/patient-summary-composition-praxis-de)