CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1 United States of America flag

This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: NHSN Subject Bundle

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

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

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

Name Flags Card. Type Description & Constraints    Filter: Filtersdoco
.. 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 ΣC 2..* 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:individual-measurereport ΣC 1..* BackboneElement Individual Measure Report: each Individual MeasureReport refers to one Patient and one measure included in the Individual Measure Report List
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 DEQMIndividualMeasureReportProfile The Bundle entry for an Individual Measure Report
.... entry:patient ΣC 1..1 BackboneElement The Patients associated with an Individual MeasureReport
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 CrossMeasurePatient The Bundle entry for a Patient associated with an Individual Measure Report

doco 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:individual-measurereport, Bundle.entry:patient 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:individual-measurereport, Bundle.entry:patient 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: Filtersdoco
.. 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 2..* BackboneElement An entry in the Bundle; will have a Resource or information
Slice: Unordered, Open by profile:resource
.... entry:individual-measurereport 1..* BackboneElement Individual Measure Report: each Individual MeasureReport refers to one Patient and one measure included in the Individual Measure Report List
..... resource 1..1 DEQMIndividualMeasureReportProfile The Bundle entry for an Individual Measure Report
.... entry:patient 1..1 BackboneElement The Patients associated with an Individual MeasureReport
..... resource 1..1 CrossMeasurePatient The Bundle entry for a Patient associated with an Individual Measure Report

doco 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: Filtersdoco
.. 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
... 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 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 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 ΣC 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 ΣC 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 ΣC 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:individual-measurereport ΣC 1..* BackboneElement Individual Measure Report: each Individual MeasureReport refers to one Patient and one measure included in the Individual Measure Report List
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 DEQMIndividualMeasureReportProfile The Bundle entry for an Individual Measure Report
..... search ΣC 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 ΣC 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 ΣC 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:patient ΣC 1..1 BackboneElement The Patients associated with an Individual MeasureReport
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 CrossMeasurePatient The Bundle entry for a Patient associated with an Individual Measure Report
..... search ΣC 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 ΣC 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 ΣC 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

doco 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:individual-measurereport.search.mode required SearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:individual-measurereport.request.method required HTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:patient.search.mode required SearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:patient.request.method required HTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard

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:individual-measurereport, Bundle.entry:patient 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:individual-measurereport, Bundle.entry:patient 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: 4 elements

Structures

This structure refers to these other structures:

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: Filtersdoco
.. 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 ΣC 2..* 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:individual-measurereport ΣC 1..* BackboneElement Individual Measure Report: each Individual MeasureReport refers to one Patient and one measure included in the Individual Measure Report List
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 DEQMIndividualMeasureReportProfile The Bundle entry for an Individual Measure Report
.... entry:patient ΣC 1..1 BackboneElement The Patients associated with an Individual MeasureReport
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 CrossMeasurePatient The Bundle entry for a Patient associated with an Individual Measure Report

doco 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:individual-measurereport, Bundle.entry:patient 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:individual-measurereport, Bundle.entry:patient 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: Filtersdoco
.. 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 2..* BackboneElement An entry in the Bundle; will have a Resource or information
Slice: Unordered, Open by profile:resource
.... entry:individual-measurereport 1..* BackboneElement Individual Measure Report: each Individual MeasureReport refers to one Patient and one measure included in the Individual Measure Report List
..... resource 1..1 DEQMIndividualMeasureReportProfile The Bundle entry for an Individual Measure Report
.... entry:patient 1..1 BackboneElement The Patients associated with an Individual MeasureReport
..... resource 1..1 CrossMeasurePatient The Bundle entry for a Patient associated with an Individual Measure Report

doco 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: Filtersdoco
.. 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
... 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 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 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 ΣC 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 ΣC 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 ΣC 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:individual-measurereport ΣC 1..* BackboneElement Individual Measure Report: each Individual MeasureReport refers to one Patient and one measure included in the Individual Measure Report List
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 DEQMIndividualMeasureReportProfile The Bundle entry for an Individual Measure Report
..... search ΣC 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 ΣC 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 ΣC 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:patient ΣC 1..1 BackboneElement The Patients associated with an Individual MeasureReport
Constraints: bdl-5, bdl-8
This repeating element order: For bundles of type 'document' and 'message', the first 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 CrossMeasurePatient The Bundle entry for a Patient associated with an Individual Measure Report
..... search ΣC 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 ΣC 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 ΣC 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

doco 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:individual-measurereport.search.mode required SearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:individual-measurereport.request.method required HTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard
Bundle.entry:patient.search.mode required SearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
From the FHIR Standard
Bundle.entry:patient.request.method required HTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
From the FHIR Standard

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:individual-measurereport, Bundle.entry:patient 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:individual-measurereport, Bundle.entry:patient 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: 4 elements

Structures

This structure refers to these other structures:

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