CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: NHSN Submission Header Bundle

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submission-header-bundle | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: NHSNSubmissionHeaderBundle

This profile defines a valid Submission Header Bundle. The Bundle is comprised of entry slices representing a Patient, individual MeasureReports, and the underlying patient-centric clinical information.

Usages:

- Examples for this Profile: Bundle/bundle-example-ach-daily-header and Bundle/bundle-example-ach-monthly-header

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | A Bundle contains a collection of Resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bundle-no-modifier-extensions, bundle-all-measurereport-measure-contains-version
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 | Σ C | 3..* | BackboneElement | An entry in the Bundle; will have a Resource or information Slice: Unordered, Open by 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
entry:submitting-organization | Σ C | 1..1 | BackboneElement | The Submitting Organization: the organization that is the source of the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | SubmittingOrganization | Bundle entry for submitting organization
entry:submitting-device | Σ C | 1..1 | BackboneElement | The Submitting Device: the device or software that is submitting the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | NHSNSubmittingDevice | Bundle entry for submitting device
entry:poi-list | Σ C | 0..1 | BackboneElement | The Patients of Interest List: a List containing Patient FHIR IDs that may be included in the Initial Population across all measures Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | PatientsOfInterestList | The Bundle entry for Patients of Interest List
entry:subject-list | Σ C | 1..* | BackboneElement | Summary Measure Report: For each measure, there is one Summary MeasureReport. The Summary MeasureReport includes the population count and a link to the List of Individual MeasureReports that are included in the summary Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | SubjectListMeasureReportProfile | The Bundle entry for a Summary Measure Report
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Bundle.type | required | BundleType `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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) |
bundle-all-measurereport-measure-contains-version | error | Bundle | MeasureReport Bundle: All MeasureReport entry's measure Canonical must contain version : Bundle.entry.resource.where($this.is(MeasureReport)).all(measure.matches('(\\|)..*$')) |
bundle-no-modifier-extensions | error | Bundle | MeasureReport Bundle: must not contain any modifierExensions : (descendants().select(modifierExtension)).exists().not() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | A Bundle contains a collection of Resources Constraints: bundle-no-modifier-extensions, bundle-all-measurereport-measure-contains-version
Slices for entry |  | 3..* | BackboneElement | An entry in the Bundle; will have a Resource or information Slice: Unordered, Open by profile:resource
entry:submitting-organization |  | 1..1 | BackboneElement | The Submitting Organization: the organization that is the source of the data
resource |  | 1..1 | SubmittingOrganization | Bundle entry for submitting organization
entry:submitting-device |  | 1..1 | BackboneElement | The Submitting Device: the device or software that is submitting the data
resource |  | 1..1 | NHSNSubmittingDevice | Bundle entry for submitting device
entry:poi-list |  | 0..1 | BackboneElement | The Patients of Interest List: a List containing Patient FHIR IDs that may be included in the Initial Population across all measures
resource |  | 1..1 | PatientsOfInterestList | The Bundle entry for Patients of Interest List
entry:subject-list |  | 1..* | BackboneElement | Summary Measure Report: For each measure, there is one Summary MeasureReport. The Summary MeasureReport includes the population count and a link to the List of Individual MeasureReports that are included in the summary
resource |  | 1..1 | SubjectListMeasureReportProfile | The Bundle entry for a Summary Measure Report
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bundle-all-measurereport-measure-contains-version | error | Bundle | MeasureReport Bundle: All MeasureReport entry's measure Canonical must contain version : Bundle.entry.resource.where($this.is(MeasureReport)).all(measure.matches('(\\|)..*$')) |
bundle-no-modifier-extensions | error | Bundle | MeasureReport Bundle: must not contain any modifierExensions : (descendants().select(modifierExtension)).exists().not() |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | A Bundle contains a collection of Resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bundle-no-modifier-extensions, bundle-all-measurereport-measure-contains-version
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | Σ | 0..1 | Identifier | Persistent identifier for the bundle
type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
timestamp | Σ | 0..1 | instant | When the bundle was assembled
total | Σ C | 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 | Σ C | 3..* | BackboneElement | An entry in the Bundle; will have a Resource or information Slice: Unordered, Open by 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 0..1 | Resource | A resource in the bundle
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:submitting-organization | Σ C | 1..1 | BackboneElement | The Submitting Organization: the organization that is the source of the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SubmittingOrganization | Bundle entry for submitting organization
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:submitting-device | Σ C | 1..1 | BackboneElement | The Submitting Device: the device or software that is submitting the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | NHSNSubmittingDevice | Bundle entry for submitting device
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:poi-list | Σ C | 0..1 | BackboneElement | The Patients of Interest List: a List containing Patient FHIR IDs that may be included in the Initial Population across all measures Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PatientsOfInterestList | The Bundle entry for Patients of Interest List
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:subject-list | Σ C | 1..* | BackboneElement | Summary Measure Report: For each measure, there is one Summary MeasureReport. The Summary MeasureReport includes the population count and a link to the List of Individual MeasureReports that are included in the summary Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SubjectListMeasureReportProfile | The Bundle entry for a Summary Measure Report
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
signature | Σ | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Bundle.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Bundle.type | required | BundleType `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard
Bundle.entry.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:submitting-organization.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:submitting-organization.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:submitting-device.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:submitting-device.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:poi-list.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:poi-list.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:subject-list.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:subject-list.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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) |
bundle-all-measurereport-measure-contains-version | error | Bundle | MeasureReport Bundle: All MeasureReport entry's measure Canonical must contain version : Bundle.entry.resource.where($this.is(MeasureReport)).all(measure.matches('(\\|)..*$')) |
bundle-no-modifier-extensions | error | Bundle | MeasureReport Bundle: must not contain any modifierExensions : (descendants().select(modifierExtension)).exists().not() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Summary

Mandatory: 6 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

- NHSN Submitting Organization (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization)
- NHSN Submitting Device (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device)
- Patients-Of-Interest List (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list)
- Subject-List MeasureReport Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Bundle.entry

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | A Bundle contains a collection of Resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bundle-no-modifier-extensions, bundle-all-measurereport-measure-contains-version
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 | Σ C | 3..* | BackboneElement | An entry in the Bundle; will have a Resource or information Slice: Unordered, Open by 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
entry:submitting-organization | Σ C | 1..1 | BackboneElement | The Submitting Organization: the organization that is the source of the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | SubmittingOrganization | Bundle entry for submitting organization
entry:submitting-device | Σ C | 1..1 | BackboneElement | The Submitting Device: the device or software that is submitting the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | NHSNSubmittingDevice | Bundle entry for submitting device
entry:poi-list | Σ C | 0..1 | BackboneElement | The Patients of Interest List: a List containing Patient FHIR IDs that may be included in the Initial Population across all measures Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | PatientsOfInterestList | The Bundle entry for Patients of Interest List
entry:subject-list | Σ C | 1..* | BackboneElement | Summary Measure Report: For each measure, there is one Summary MeasureReport. The Summary MeasureReport includes the population count and a link to the List of Individual MeasureReports that are included in the summary Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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
resource |  | 1..1 | SubjectListMeasureReportProfile | The Bundle entry for a Summary Measure Report
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Bundle.type | required | BundleType `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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) |
bundle-all-measurereport-measure-contains-version | error | Bundle | MeasureReport Bundle: All MeasureReport entry's measure Canonical must contain version : Bundle.entry.resource.where($this.is(MeasureReport)).all(measure.matches('(\\|)..*$')) |
bundle-no-modifier-extensions | error | Bundle | MeasureReport Bundle: must not contain any modifierExensions : (descendants().select(modifierExtension)).exists().not() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | A Bundle contains a collection of Resources Constraints: bundle-no-modifier-extensions, bundle-all-measurereport-measure-contains-version
Slices for entry |  | 3..* | BackboneElement | An entry in the Bundle; will have a Resource or information Slice: Unordered, Open by profile:resource
entry:submitting-organization |  | 1..1 | BackboneElement | The Submitting Organization: the organization that is the source of the data
resource |  | 1..1 | SubmittingOrganization | Bundle entry for submitting organization
entry:submitting-device |  | 1..1 | BackboneElement | The Submitting Device: the device or software that is submitting the data
resource |  | 1..1 | NHSNSubmittingDevice | Bundle entry for submitting device
entry:poi-list |  | 0..1 | BackboneElement | The Patients of Interest List: a List containing Patient FHIR IDs that may be included in the Initial Population across all measures
resource |  | 1..1 | PatientsOfInterestList | The Bundle entry for Patients of Interest List
entry:subject-list |  | 1..* | BackboneElement | Summary Measure Report: For each measure, there is one Summary MeasureReport. The Summary MeasureReport includes the population count and a link to the List of Individual MeasureReports that are included in the summary
resource |  | 1..1 | SubjectListMeasureReportProfile | The Bundle entry for a Summary Measure Report
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bundle-all-measurereport-measure-contains-version | error | Bundle | MeasureReport Bundle: All MeasureReport entry's measure Canonical must contain version : Bundle.entry.resource.where($this.is(MeasureReport)).all(measure.matches('(\\|)..*$')) |
bundle-no-modifier-extensions | error | Bundle | MeasureReport Bundle: must not contain any modifierExensions : (descendants().select(modifierExtension)).exists().not() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | A Bundle contains a collection of Resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bundle-no-modifier-extensions, bundle-all-measurereport-measure-contains-version
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | Σ | 0..1 | Identifier | Persistent identifier for the bundle
type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
timestamp | Σ | 0..1 | instant | When the bundle was assembled
total | Σ C | 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 | Σ C | 3..* | BackboneElement | An entry in the Bundle; will have a Resource or information Slice: Unordered, Open by 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 0..1 | Resource | A resource in the bundle
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:submitting-organization | Σ C | 1..1 | BackboneElement | The Submitting Organization: the organization that is the source of the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SubmittingOrganization | Bundle entry for submitting organization
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:submitting-device | Σ C | 1..1 | BackboneElement | The Submitting Device: the device or software that is submitting the data Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | NHSNSubmittingDevice | Bundle entry for submitting device
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:poi-list | Σ C | 0..1 | BackboneElement | The Patients of Interest List: a List containing Patient FHIR IDs that may be included in the Initial Population across all measures Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | PatientsOfInterestList | The Bundle entry for Patients of Interest List
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
entry:subject-list | Σ C | 1..* | BackboneElement | Summary Measure Report: For each measure, there is one Summary MeasureReport. The Summary MeasureReport includes the population count and a link to the List of Individual MeasureReports that are included in the summary Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first 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 | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | SubjectListMeasureReportProfile | The Bundle entry for a Summary Measure Report
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
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
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
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
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
signature | Σ | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Bundle.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Bundle.type | required | BundleType `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard
Bundle.entry.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:submitting-organization.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:submitting-organization.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:submitting-device.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:submitting-device.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:poi-list.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:poi-list.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:subject-list.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:subject-list.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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:submitting-organization, Bundle.entry:submitting-device, Bundle.entry:poi-list, Bundle.entry:subject-list | 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) |
bundle-all-measurereport-measure-contains-version | error | Bundle | MeasureReport Bundle: All MeasureReport entry's measure Canonical must contain version : Bundle.entry.resource.where($this.is(MeasureReport)).all(measure.matches('(\\|)..*$')) |
bundle-no-modifier-extensions | error | Bundle | MeasureReport Bundle: must not contain any modifierExensions : (descendants().select(modifierExtension)).exists().not() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Summary

Mandatory: 6 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

- NHSN Submitting Organization (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-organization)
- NHSN Submitting Device (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/nhsn-submitting-device)
- Patients-Of-Interest List (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/poi-list)
- Subject-List MeasureReport Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/subjectlist-measurereport)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Bundle.entry

Maturity: 1

Other representations of profile: CSV, Excel, Schematron