MyHealth@Eu Hospital Discharge Report
0.0.1 - qa-preview 150

MyHealth@Eu Hospital Discharge Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: BundleHdrMyHealthEu - Detailed Descriptions

Draft as of 2025-05-16

Definitions for the bundle-hdr-myhealtheu resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Bundle
Definition

Hospital Discharge Report bundle.


A container for a collection of resources.

ShortHospital Discharge Report bundleContains a collection of resources
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: 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: 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-7: 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-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
bdl-hdr-1: An IPS document must have no additional Composition (including Composition subclass) resources besides the first. (entry.tail().where(resource is Composition).empty())
bdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: 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: 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-7: 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-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
2. Bundle.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Bundle.identifier
Definition

A persistent identifier for the bundle that won't change as a bundle is copied from server to server.

ShortReport instance identifierPersistent identifier for the bundle
Comments

Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1
TypeIdentifier
Is Modifierfalse
Obligations
    ObligationsActor
    SHALL:handleHDR Handler
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Bundle.type
    Definition

    Indicates the purpose of this bundle - how it is intended to be used.

    Shortdocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
    Comments

    It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.

    Control1..1
    BindingThe codes SHALL be taken from BundleTypehttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1
    (required to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1)

    Indicates the purpose of a bundle - how it is intended to be used.

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Fixed Valuedocument
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Bundle.timestamp
    Definition

    The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

    ShortReport instance datetimeWhen the bundle was assembled
    Comments

    For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.

    Usage:

    • document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time
    • message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message
    • history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates
    • searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query
    • transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning

    The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.

    Control10..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Obligations
      ObligationsActor
      SHALL:handleHDR Handler
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Bundle.link
      Definition

      A series of links that provide context to this bundle.

      ShortLinks related to this Bundle
      Comments

      Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS).

      Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly.

      This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.

      Control0..0*
      TypeBackboneElement
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      15. Bundle.entry
      Definition

      An entry resource included in the Hospital Discharge Report document bundle resource.


      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

      ShortEntry resource in the Hospital Discharge Report bundleEntry in the bundle - will have a resource or information
      Comments

      Must contain the HDR Composition as the first entry (only a single Composition resource instance may be included). Additional constraints are specified in the HDR Composition profile.

      Control30..*
      TypeBackboneElement
      Is Modifierfalse
      Obligations
        ObligationsActor
        SHALL:handleHDR Handler
        Summarytrue
        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
        SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • type @ resource
        • profile @ resource
        • 17. Bundle.entry.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          19. Bundle.entry.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          21. Bundle.entry.resource
          Definition

          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortA resource in the bundle
          Control10..1
          TypeResource
          Is Modifierfalse
          Summarytrue
          23. Bundle.entry.search
          Definition

          Information about the search process that lead to the creation of this entry.

          ShortSearch related information
          Control0..01
          This element is affected by the following invariants: bdl-2
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. Bundle.entry.request
          Definition

          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

          ShortAdditional execution information (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-3
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          31. Bundle.entry.response
          Definition

          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

          ShortResults of execution (transaction/batch/history)
          Control0..01
          This element is affected by the following invariants: bdl-4
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          35. Bundle.entry:composition
          Slice Namecomposition
          Definition

          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

          ShortEntry in the bundle - will have a resource or information
          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Summarytrue
          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
          37. Bundle.entry:composition.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          39. Bundle.entry:composition.fullUrl
          Definition

          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
          • Results from operations might involve resources that are not identified.
          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
          Comments

          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          41. Bundle.entry:composition.resource
          Definition

          Hospital Discharge Report composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.


          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

          ShortHospital Discharge Report compositionA resource in the bundle
          Comments

          While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

          Control10..1
          TypeCompositionResource(Composition: HDR)
          Is Modifierfalse
          Obligations
            ObligationsActor
            SHALL:handleHDR Handler
            Summaryfalse
            43. Bundle.entry:composition.search
            Definition

            Information about the search process that lead to the creation of this entry.

            ShortSearch related information
            Control0..01
            This element is affected by the following invariants: bdl-2
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. Bundle.entry:composition.request
            Definition

            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

            ShortAdditional execution information (transaction/batch/history)
            Control0..01
            This element is affected by the following invariants: bdl-3
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            51. Bundle.entry:composition.response
            Definition

            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

            ShortResults of execution (transaction/batch/history)
            Control0..01
            This element is affected by the following invariants: bdl-4
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            55. Bundle.entry:patient
            Slice Namepatient
            Definition

            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

            ShortEntry in the bundle - will have a resource or information
            Control10..1*
            TypeBackboneElement
            Is Modifierfalse
            Summarytrue
            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
            57. Bundle.entry:patient.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            59. Bundle.entry:patient.fullUrl
            Definition

            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
            • Results from operations might involve resources that are not identified.
            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
            Comments

            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            61. Bundle.entry:patient.resource
            Definition

            Demographics and other administrative information about an individual or animal receiving care or other health-related services.


            The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

            ShortInformation about an individual or animal receiving health care servicesA resource in the bundle
            Control10..1
            TypePatientResource(Patient: HDR)
            Is Modifierfalse
            Obligations
              ObligationsActor
              SHALL:handleHDR Handler
              Summaryfalse
              Alternate NamesSubjectOfCare Client Resident
              63. Bundle.entry:patient.search
              Definition

              Information about the search process that lead to the creation of this entry.

              ShortSearch related information
              Control0..01
              This element is affected by the following invariants: bdl-2
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              66. Bundle.entry:patient.request
              Definition

              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

              ShortAdditional execution information (transaction/batch/history)
              Control0..01
              This element is affected by the following invariants: bdl-3
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              71. Bundle.entry:patient.response
              Definition

              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

              ShortResults of execution (transaction/batch/history)
              Control0..01
              This element is affected by the following invariants: bdl-4
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              75. Bundle.entry:encounter
              Slice Nameencounter
              Definition

              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

              ShortEntry in the bundle - will have a resource or information
              Control10..*
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
              77. Bundle.entry:encounter.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              79. Bundle.entry:encounter.fullUrl
              Definition

              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
              • Results from operations might involve resources that are not identified.
              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
              Comments

              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              81. Bundle.entry:encounter.resource
              Definition

              An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.


              The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

              ShortAn interaction during which services are provided to the patientA resource in the bundle
              Control10..1
              TypeEncounterResource(Encounter: HDR)
              Is Modifierfalse
              Obligations
                ObligationsActor
                SHALL:handleHDR Handler
                Summaryfalse
                Alternate NamesVisit
                83. Bundle.entry:encounter.search
                Definition

                Information about the search process that lead to the creation of this entry.

                ShortSearch related information
                Control0..01
                This element is affected by the following invariants: bdl-2
                TypeBackboneElement
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. Bundle.entry:encounter.request
                Definition

                Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                ShortAdditional execution information (transaction/batch/history)
                Control0..01
                This element is affected by the following invariants: bdl-3
                TypeBackboneElement
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                91. Bundle.entry:encounter.response
                Definition

                Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                ShortResults of execution (transaction/batch/history)
                Control0..01
                This element is affected by the following invariants: bdl-4
                TypeBackboneElement
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                95. Bundle.entry:allergyIntolerance
                Slice NameallergyIntolerance
                Definition

                An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                ShortEntry in the bundle - will have a resource or information
                Control0..*
                TypeBackboneElement
                Is Modifierfalse
                Summarytrue
                Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                97. Bundle.entry:allergyIntolerance.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                99. Bundle.entry:allergyIntolerance.fullUrl
                Definition

                The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                • Results from operations might involve resources that are not identified.
                ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                Comments

                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                101. Bundle.entry:allergyIntolerance.resource
                Definition

                Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.


                The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                ShortAllergy or Intolerance (generally: Risk of adverse reaction to a substance)A resource in the bundle
                Comments

                Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.

                Control10..1
                TypeAllergyIntoleranceResource(Allergy Intolerance: HDR)
                Is Modifierfalse
                Obligations
                  ObligationsActor
                  SHALL:handleHDR Handler
                  Summaryfalse
                  Alternate NamesAllergy, Intolerance, Adverse Reaction
                  103. Bundle.entry:allergyIntolerance.search
                  Definition

                  Information about the search process that lead to the creation of this entry.

                  ShortSearch related information
                  Control0..01
                  This element is affected by the following invariants: bdl-2
                  TypeBackboneElement
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  106. Bundle.entry:allergyIntolerance.request
                  Definition

                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                  ShortAdditional execution information (transaction/batch/history)
                  Control0..01
                  This element is affected by the following invariants: bdl-3
                  TypeBackboneElement
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  111. Bundle.entry:allergyIntolerance.response
                  Definition

                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                  ShortResults of execution (transaction/batch/history)
                  Control0..01
                  This element is affected by the following invariants: bdl-4
                  TypeBackboneElement
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  115. Bundle.entry:condition
                  Slice Namecondition
                  Definition

                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                  ShortEntry in the bundle - will have a resource or information
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Summarytrue
                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                  117. Bundle.entry:condition.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  119. Bundle.entry:condition.fullUrl
                  Definition

                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                  • Results from operations might involve resources that are not identified.
                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                  Comments

                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  121. Bundle.entry:condition.resource
                  Definition

                  A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.


                  The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                  ShortDetailed information about conditions, problems or diagnosesA resource in the bundle
                  Control10..1
                  TypeConditionResource(Condition: HDR)
                  Is Modifierfalse
                  Obligations
                    ObligationsActor
                    SHALL:handleHDR Handler
                    Summaryfalse
                    123. Bundle.entry:condition.search
                    Definition

                    Information about the search process that lead to the creation of this entry.

                    ShortSearch related information
                    Control0..01
                    This element is affected by the following invariants: bdl-2
                    TypeBackboneElement
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    126. Bundle.entry:condition.request
                    Definition

                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                    ShortAdditional execution information (transaction/batch/history)
                    Control0..01
                    This element is affected by the following invariants: bdl-3
                    TypeBackboneElement
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    131. Bundle.entry:condition.response
                    Definition

                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                    ShortResults of execution (transaction/batch/history)
                    Control0..01
                    This element is affected by the following invariants: bdl-4
                    TypeBackboneElement
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    135. Bundle.entry:device
                    Slice Namedevice
                    Definition

                    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                    ShortEntry in the bundle - will have a resource or information
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Summarytrue
                    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                    137. Bundle.entry:device.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    139. Bundle.entry:device.fullUrl
                    Definition

                    The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                    • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                    • Results from operations might involve resources that are not identified.
                    ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                    Comments

                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                    Control10..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    141. Bundle.entry:device.resource
                    Definition

                    A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.


                    The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                    ShortItem used in healthcareA resource in the bundle
                    Control10..1
                    TypeDeviceResource(Device: HDR)
                    Is Modifierfalse
                    Obligations
                      ObligationsActor
                      SHALL:handleHDR Handler
                      Summaryfalse
                      143. Bundle.entry:device.search
                      Definition

                      Information about the search process that lead to the creation of this entry.

                      ShortSearch related information
                      Control0..01
                      This element is affected by the following invariants: bdl-2
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      146. Bundle.entry:device.request
                      Definition

                      Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                      ShortAdditional execution information (transaction/batch/history)
                      Control0..01
                      This element is affected by the following invariants: bdl-3
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      151. Bundle.entry:device.response
                      Definition

                      Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                      ShortResults of execution (transaction/batch/history)
                      Control0..01
                      This element is affected by the following invariants: bdl-4
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      155. Bundle.entry:deviceUseStatement
                      Slice NamedeviceUseStatement
                      Definition

                      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                      ShortEntry in the bundle - will have a resource or information
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                      157. Bundle.entry:deviceUseStatement.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      159. Bundle.entry:deviceUseStatement.fullUrl
                      Definition

                      The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                      • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                      • Results from operations might involve resources that are not identified.
                      ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                      Comments

                      fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                      Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                      fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                      Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      161. Bundle.entry:deviceUseStatement.resource
                      Definition

                      A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.


                      The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                      ShortRecord of use of a deviceA resource in the bundle
                      Control10..1
                      TypeDeviceUseStatementResource(DeviceUseStatement: HDR)
                      Is Modifierfalse
                      Obligations
                        ObligationsActor
                        SHALL:handleHDR Handler
                        Summaryfalse
                        163. Bundle.entry:deviceUseStatement.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..01
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        166. Bundle.entry:deviceUseStatement.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        171. Bundle.entry:deviceUseStatement.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        175. Bundle.entry:diagnosticReport
                        Slice NamediagnosticReport
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        177. Bundle.entry:diagnosticReport.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        179. Bundle.entry:diagnosticReport.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        181. Bundle.entry:diagnosticReport.resource
                        Definition

                        The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.


                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reportsA resource in the bundle
                        Comments

                        This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

                        Control10..1
                        TypeDiagnosticReportResource(DiagnosticReport (IPS))
                        Is Modifierfalse
                        Summaryfalse
                        Alternate NamesReport, Test, Result, Results, Labs, Laboratory
                        183. Bundle.entry:diagnosticReport.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..01
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        186. Bundle.entry:diagnosticReport.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        191. Bundle.entry:diagnosticReport.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        195. Bundle.entry:imagingStudy
                        Slice NameimagingStudy
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        197. Bundle.entry:imagingStudy.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        199. Bundle.entry:imagingStudy.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        201. Bundle.entry:imagingStudy.resource
                        Definition

                        Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.


                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortA set of images produced in single study (one or more series of references images)A resource in the bundle
                        Control10..1
                        TypeImagingStudyResource(ImagingStudy (IPS))
                        Is Modifierfalse
                        Summaryfalse
                        203. Bundle.entry:imagingStudy.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..01
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        206. Bundle.entry:imagingStudy.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        211. Bundle.entry:imagingStudy.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        215. Bundle.entry:immunization
                        Slice Nameimmunization
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        217. Bundle.entry:immunization.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        219. Bundle.entry:immunization.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        221. Bundle.entry:immunization.resource
                        Definition

                        Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.


                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortImmunization event informationA resource in the bundle
                        Control10..1
                        TypeImmunizationResource(Immunization (HDR))
                        Is Modifierfalse
                        Summaryfalse
                        223. Bundle.entry:immunization.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..01
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        226. Bundle.entry:immunization.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        231. Bundle.entry:immunization.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        235. Bundle.entry:immunizationRecommendation
                        Slice NameimmunizationRecommendation
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        237. Bundle.entry:immunizationRecommendation.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        239. Bundle.entry:immunizationRecommendation.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        241. Bundle.entry:immunizationRecommendation.resource
                        Definition

                        A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.


                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortGuidance or advice relating to an immunizationA resource in the bundle
                        Control10..1
                        TypeImmunizationRecommendationResource(ImmunizationRecommendation (HDR))
                        Is Modifierfalse
                        Summaryfalse
                        243. Bundle.entry:immunizationRecommendation.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..01
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        246. Bundle.entry:immunizationRecommendation.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        251. Bundle.entry:immunizationRecommendation.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        255. Bundle.entry:media
                        Slice Namemedia
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        257. Bundle.entry:media.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        259. Bundle.entry:media.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        261. Bundle.entry:media.resource
                        Definition

                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortA resource in the bundle
                        Control10..1
                        TypeMediaResource
                        Is Modifierfalse
                        Summarytrue
                        263. Bundle.entry:media.search
                        Definition

                        Information about the search process that lead to the creation of this entry.

                        ShortSearch related information
                        Control0..01
                        This element is affected by the following invariants: bdl-2
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        266. Bundle.entry:media.request
                        Definition

                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                        ShortAdditional execution information (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-3
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        271. Bundle.entry:media.response
                        Definition

                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                        ShortResults of execution (transaction/batch/history)
                        Control0..01
                        This element is affected by the following invariants: bdl-4
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        275. Bundle.entry:medication
                        Slice Namemedication
                        Definition

                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                        ShortEntry in the bundle - will have a resource or information
                        Control0..*
                        TypeBackboneElement
                        Is Modifierfalse
                        Summarytrue
                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                        277. Bundle.entry:medication.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        279. Bundle.entry:medication.fullUrl
                        Definition

                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                        • Results from operations might involve resources that are not identified.
                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                        Comments

                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        281. Bundle.entry:medication.resource
                        Definition

                        This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.


                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                        ShortDefinition of a MedicationA resource in the bundle
                        Control10..1
                        TypeMedicationResource(Medication: HDR)
                        Is Modifierfalse
                        Obligations
                          ObligationsActor
                          SHALL:handleHDR Handler
                          Summaryfalse
                          283. Bundle.entry:medication.search
                          Definition

                          Information about the search process that lead to the creation of this entry.

                          ShortSearch related information
                          Control0..01
                          This element is affected by the following invariants: bdl-2
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          286. Bundle.entry:medication.request
                          Definition

                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                          ShortAdditional execution information (transaction/batch/history)
                          Control0..01
                          This element is affected by the following invariants: bdl-3
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          291. Bundle.entry:medication.response
                          Definition

                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                          ShortResults of execution (transaction/batch/history)
                          Control0..01
                          This element is affected by the following invariants: bdl-4
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          295. Bundle.entry:medicationRequest
                          Slice NamemedicationRequest
                          Definition

                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                          ShortEntry in the bundle - will have a resource or information
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                          297. Bundle.entry:medicationRequest.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          299. Bundle.entry:medicationRequest.fullUrl
                          Definition

                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                          • Results from operations might involve resources that are not identified.
                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                          Comments

                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                          Control10..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          301. Bundle.entry:medicationRequest.resource
                          Definition

                          An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.


                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                          ShortOrdering of medication for patient or groupA resource in the bundle
                          Control10..1
                          TypeMedicationRequestResource(MedicationRequest: HDR)
                          Is Modifierfalse
                          Obligations
                            ObligationsActor
                            SHALL:handleHDR Handler
                            Summaryfalse
                            Alternate NamesPrescription, Order
                            303. Bundle.entry:medicationRequest.search
                            Definition

                            Information about the search process that lead to the creation of this entry.

                            ShortSearch related information
                            Control0..01
                            This element is affected by the following invariants: bdl-2
                            TypeBackboneElement
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            306. Bundle.entry:medicationRequest.request
                            Definition

                            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                            ShortAdditional execution information (transaction/batch/history)
                            Control0..01
                            This element is affected by the following invariants: bdl-3
                            TypeBackboneElement
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            311. Bundle.entry:medicationRequest.response
                            Definition

                            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                            ShortResults of execution (transaction/batch/history)
                            Control0..01
                            This element is affected by the following invariants: bdl-4
                            TypeBackboneElement
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            315. Bundle.entry:medicationStatement
                            Slice NamemedicationStatement
                            Definition

                            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                            ShortEntry in the bundle - will have a resource or information
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Summarytrue
                            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                            317. Bundle.entry:medicationStatement.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            319. Bundle.entry:medicationStatement.fullUrl
                            Definition

                            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                            • Results from operations might involve resources that are not identified.
                            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                            Comments

                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                            Control10..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            321. Bundle.entry:medicationStatement.resource
                            Definition

                            A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

                            The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.


                            The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                            ShortRecord of medication being taken by a patientA resource in the bundle
                            Comments

                            When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.

                            Control10..1
                            TypeMedicationStatementResource(MedicationStatement: HDR)
                            Is Modifierfalse
                            Obligations
                              ObligationsActor
                              SHALL:handleHDR Handler
                              Summaryfalse
                              323. Bundle.entry:medicationStatement.search
                              Definition

                              Information about the search process that lead to the creation of this entry.

                              ShortSearch related information
                              Control0..01
                              This element is affected by the following invariants: bdl-2
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              326. Bundle.entry:medicationStatement.request
                              Definition

                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                              ShortAdditional execution information (transaction/batch/history)
                              Control0..01
                              This element is affected by the following invariants: bdl-3
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              331. Bundle.entry:medicationStatement.response
                              Definition

                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                              ShortResults of execution (transaction/batch/history)
                              Control0..01
                              This element is affected by the following invariants: bdl-4
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              335. Bundle.entry:medicationDispense
                              Slice NamemedicationDispense
                              Definition

                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                              ShortEntry in the bundle - will have a resource or information
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                              337. Bundle.entry:medicationDispense.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              339. Bundle.entry:medicationDispense.fullUrl
                              Definition

                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                              • Results from operations might involve resources that are not identified.
                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                              Comments

                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                              Control10..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              341. Bundle.entry:medicationDispense.resource
                              Definition

                              Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.


                              The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                              ShortDispensing a medication to a named patientA resource in the bundle
                              Control10..1
                              TypeMedicationDispenseResource(MedicationDispense: HDR)
                              Is Modifierfalse
                              Summaryfalse
                              343. Bundle.entry:medicationDispense.search
                              Definition

                              Information about the search process that lead to the creation of this entry.

                              ShortSearch related information
                              Control0..01
                              This element is affected by the following invariants: bdl-2
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              346. Bundle.entry:medicationDispense.request
                              Definition

                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                              ShortAdditional execution information (transaction/batch/history)
                              Control0..01
                              This element is affected by the following invariants: bdl-3
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              351. Bundle.entry:medicationDispense.response
                              Definition

                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                              ShortResults of execution (transaction/batch/history)
                              Control0..01
                              This element is affected by the following invariants: bdl-4
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              355. Bundle.entry:medicationAdministration
                              Slice NamemedicationAdministration
                              Definition

                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                              ShortEntry in the bundle - will have a resource or information
                              Control0..*
                              TypeBackboneElement
                              Is Modifierfalse
                              Summarytrue
                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                              357. Bundle.entry:medicationAdministration.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              359. Bundle.entry:medicationAdministration.fullUrl
                              Definition

                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                              • Results from operations might involve resources that are not identified.
                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                              Comments

                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                              Control10..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              361. Bundle.entry:medicationAdministration.resource
                              Definition

                              Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.


                              The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                              ShortAdministration of medication to a patientA resource in the bundle
                              Control10..1
                              TypeMedicationAdministrationResource(MedicationAdministration: HDR)
                              Is Modifierfalse
                              Obligations
                                ObligationsActor
                                SHALL:handleHDR Handler
                                Summaryfalse
                                363. Bundle.entry:medicationAdministration.search
                                Definition

                                Information about the search process that lead to the creation of this entry.

                                ShortSearch related information
                                Control0..01
                                This element is affected by the following invariants: bdl-2
                                TypeBackboneElement
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                366. Bundle.entry:medicationAdministration.request
                                Definition

                                Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                ShortAdditional execution information (transaction/batch/history)
                                Control0..01
                                This element is affected by the following invariants: bdl-3
                                TypeBackboneElement
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                371. Bundle.entry:medicationAdministration.response
                                Definition

                                Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                ShortResults of execution (transaction/batch/history)
                                Control0..01
                                This element is affected by the following invariants: bdl-4
                                TypeBackboneElement
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                375. Bundle.entry:practitioner
                                Slice Namepractitioner
                                Definition

                                An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                ShortEntry in the bundle - will have a resource or information
                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Summarytrue
                                Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                377. Bundle.entry:practitioner.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                379. Bundle.entry:practitioner.fullUrl
                                Definition

                                The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                • Results from operations might involve resources that are not identified.
                                ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                Comments

                                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                Control10..1
                                Typeuri
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                381. Bundle.entry:practitioner.resource
                                Definition

                                A person who is directly or indirectly involved in the provisioning of healthcare.


                                The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                ShortA person with a formal responsibility in the provisioning of healthcare or related servicesA resource in the bundle
                                Control10..1
                                TypePractitionerResource(Practitioner: HDR)
                                Is Modifierfalse
                                Obligations
                                  ObligationsActor
                                  SHALL:handleHDR Handler
                                  Summaryfalse
                                  383. Bundle.entry:practitioner.search
                                  Definition

                                  Information about the search process that lead to the creation of this entry.

                                  ShortSearch related information
                                  Control0..01
                                  This element is affected by the following invariants: bdl-2
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  386. Bundle.entry:practitioner.request
                                  Definition

                                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                  ShortAdditional execution information (transaction/batch/history)
                                  Control0..01
                                  This element is affected by the following invariants: bdl-3
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  391. Bundle.entry:practitioner.response
                                  Definition

                                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                  ShortResults of execution (transaction/batch/history)
                                  Control0..01
                                  This element is affected by the following invariants: bdl-4
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  395. Bundle.entry:practitionerRole
                                  Slice NamepractitionerRole
                                  Definition

                                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                  ShortEntry in the bundle - will have a resource or information
                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                  397. Bundle.entry:practitionerRole.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  399. Bundle.entry:practitionerRole.fullUrl
                                  Definition

                                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                  • Results from operations might involve resources that are not identified.
                                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                  Comments

                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                  Control10..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  401. Bundle.entry:practitionerRole.resource
                                  Definition

                                  A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.


                                  The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                  ShortRoles/organizations the practitioner is associated withA resource in the bundle
                                  Control10..1
                                  TypePractitionerRoleResource(PractitionerRole:: HDR)
                                  Is Modifierfalse
                                  Obligations
                                    ObligationsActor
                                    SHALL:handleHDR Handler
                                    Summaryfalse
                                    403. Bundle.entry:practitionerRole.search
                                    Definition

                                    Information about the search process that lead to the creation of this entry.

                                    ShortSearch related information
                                    Control0..01
                                    This element is affected by the following invariants: bdl-2
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    406. Bundle.entry:practitionerRole.request
                                    Definition

                                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                    ShortAdditional execution information (transaction/batch/history)
                                    Control0..01
                                    This element is affected by the following invariants: bdl-3
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    411. Bundle.entry:practitionerRole.response
                                    Definition

                                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                    ShortResults of execution (transaction/batch/history)
                                    Control0..01
                                    This element is affected by the following invariants: bdl-4
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    415. Bundle.entry:procedure
                                    Slice Nameprocedure
                                    Definition

                                    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                    ShortEntry in the bundle - will have a resource or information
                                    Control0..*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                    417. Bundle.entry:procedure.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    419. Bundle.entry:procedure.fullUrl
                                    Definition

                                    The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                    • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                    • Results from operations might involve resources that are not identified.
                                    ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                    Comments

                                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                    Control10..1
                                    Typeuri
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    421. Bundle.entry:procedure.resource
                                    Definition

                                    An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.


                                    The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                    ShortAn action that is being or was performed on a patientA resource in the bundle
                                    Control10..1
                                    TypeProcedureResource(Procedure: HDR)
                                    Is Modifierfalse
                                    Obligations
                                      ObligationsActor
                                      SHALL:handleHDR Handler
                                      Summaryfalse
                                      423. Bundle.entry:procedure.search
                                      Definition

                                      Information about the search process that lead to the creation of this entry.

                                      ShortSearch related information
                                      Control0..01
                                      This element is affected by the following invariants: bdl-2
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      426. Bundle.entry:procedure.request
                                      Definition

                                      Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                      ShortAdditional execution information (transaction/batch/history)
                                      Control0..01
                                      This element is affected by the following invariants: bdl-3
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      431. Bundle.entry:procedure.response
                                      Definition

                                      Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                      ShortResults of execution (transaction/batch/history)
                                      Control0..01
                                      This element is affected by the following invariants: bdl-4
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      435. Bundle.entry:organization
                                      Slice Nameorganization
                                      Definition

                                      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                      ShortEntry in the bundle - will have a resource or information
                                      Control0..*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                      437. Bundle.entry:organization.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      439. Bundle.entry:organization.fullUrl
                                      Definition

                                      The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                      • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                      • Results from operations might involve resources that are not identified.
                                      ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                      Comments

                                      fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                      Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                      fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                      Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                      Control10..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      441. Bundle.entry:organization.resource
                                      Definition

                                      A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.


                                      The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                      ShortA grouping of people or organizations with a common purposeA resource in the bundle
                                      Control10..1
                                      TypeOrganizationResource(Organization: HDR)
                                      Is Modifierfalse
                                      Obligations
                                        ObligationsActor
                                        SHALL:handleHDR Handler
                                        Summaryfalse
                                        443. Bundle.entry:organization.search
                                        Definition

                                        Information about the search process that lead to the creation of this entry.

                                        ShortSearch related information
                                        Control0..01
                                        This element is affected by the following invariants: bdl-2
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        446. Bundle.entry:organization.request
                                        Definition

                                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                        ShortAdditional execution information (transaction/batch/history)
                                        Control0..01
                                        This element is affected by the following invariants: bdl-3
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        451. Bundle.entry:organization.response
                                        Definition

                                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                        ShortResults of execution (transaction/batch/history)
                                        Control0..01
                                        This element is affected by the following invariants: bdl-4
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        455. Bundle.entry:observation
                                        Slice Nameobservation
                                        Definition

                                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                        ShortEntry in the bundle - will have a resource or information
                                        Control0..*
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                        457. Bundle.entry:observation.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        459. Bundle.entry:observation.fullUrl
                                        Definition

                                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                        • Results from operations might involve resources that are not identified.
                                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                        Comments

                                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                        Control10..1
                                        Typeuri
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        461. Bundle.entry:observation.resource
                                        Definition

                                        The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                        ShortA resource in the bundle
                                        Control10..1
                                        TypeObservationResource
                                        Is Modifierfalse
                                        Obligations
                                          ObligationsActor
                                          SHALL:handleHDR Handler
                                          Summarytrue
                                          463. Bundle.entry:observation.search
                                          Definition

                                          Information about the search process that lead to the creation of this entry.

                                          ShortSearch related information
                                          Control0..01
                                          This element is affected by the following invariants: bdl-2
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          466. Bundle.entry:observation.request
                                          Definition

                                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                          ShortAdditional execution information (transaction/batch/history)
                                          Control0..01
                                          This element is affected by the following invariants: bdl-3
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          471. Bundle.entry:observation.response
                                          Definition

                                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                          ShortResults of execution (transaction/batch/history)
                                          Control0..01
                                          This element is affected by the following invariants: bdl-4
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          475. Bundle.entry:specimen
                                          Slice Namespecimen
                                          Definition

                                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                          ShortEntry in the bundle - will have a resource or information
                                          Control0..*
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Summarytrue
                                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                          477. Bundle.entry:specimen.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          479. Bundle.entry:specimen.fullUrl
                                          Definition

                                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                          • Results from operations might involve resources that are not identified.
                                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                          Comments

                                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                          Control10..1
                                          Typeuri
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          481. Bundle.entry:specimen.resource
                                          Definition

                                          A sample to be used for analysis.


                                          The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                          ShortSample for analysisA resource in the bundle
                                          Control10..1
                                          TypeSpecimenResource(Specimen (IPS))
                                          Is Modifierfalse
                                          Obligations
                                            ObligationsActor
                                            SHALL:handleHDR Handler
                                            Summaryfalse
                                            483. Bundle.entry:specimen.search
                                            Definition

                                            Information about the search process that lead to the creation of this entry.

                                            ShortSearch related information
                                            Control0..01
                                            This element is affected by the following invariants: bdl-2
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            486. Bundle.entry:specimen.request
                                            Definition

                                            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                            ShortAdditional execution information (transaction/batch/history)
                                            Control0..01
                                            This element is affected by the following invariants: bdl-3
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            491. Bundle.entry:specimen.response
                                            Definition

                                            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                            ShortResults of execution (transaction/batch/history)
                                            Control0..01
                                            This element is affected by the following invariants: bdl-4
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            495. Bundle.entry:familyMemberHistory
                                            Slice NamefamilyMemberHistory
                                            Definition

                                            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                            ShortEntry in the bundle - will have a resource or information
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                            497. Bundle.entry:familyMemberHistory.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            499. Bundle.entry:familyMemberHistory.fullUrl
                                            Definition

                                            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                            • Results from operations might involve resources that are not identified.
                                            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                            Comments

                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                            Control10..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            501. Bundle.entry:familyMemberHistory.resource
                                            Definition

                                            Significant health conditions for a person related to the patient relevant in the context of care for the patient.


                                            The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                            ShortInformation about patient's relatives, relevant for patientA resource in the bundle
                                            Control10..1
                                            TypeFamilyMemberHistoryResource(FamilyMemberHistory (HDR))
                                            Is Modifierfalse
                                            Summaryfalse
                                            503. Bundle.entry:familyMemberHistory.search
                                            Definition

                                            Information about the search process that lead to the creation of this entry.

                                            ShortSearch related information
                                            Control0..01
                                            This element is affected by the following invariants: bdl-2
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            506. Bundle.entry:familyMemberHistory.request
                                            Definition

                                            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                            ShortAdditional execution information (transaction/batch/history)
                                            Control0..01
                                            This element is affected by the following invariants: bdl-3
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            511. Bundle.entry:familyMemberHistory.response
                                            Definition

                                            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                            ShortResults of execution (transaction/batch/history)
                                            Control0..01
                                            This element is affected by the following invariants: bdl-4
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            515. Bundle.entry:documentReference
                                            Slice NamedocumentReference
                                            Definition

                                            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                            ShortEntry in the bundle - will have a resource or information
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                            517. Bundle.entry:documentReference.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            519. Bundle.entry:documentReference.fullUrl
                                            Definition

                                            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                            • Results from operations might involve resources that are not identified.
                                            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                            Comments

                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                            Control10..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            521. Bundle.entry:documentReference.resource
                                            Definition

                                            The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                            ShortA resource in the bundle
                                            Control10..1
                                            TypeDocumentReferenceResource
                                            Is Modifierfalse
                                            Summarytrue
                                            523. Bundle.entry:documentReference.search
                                            Definition

                                            Information about the search process that lead to the creation of this entry.

                                            ShortSearch related information
                                            Control0..01
                                            This element is affected by the following invariants: bdl-2
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            526. Bundle.entry:documentReference.request
                                            Definition

                                            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                            ShortAdditional execution information (transaction/batch/history)
                                            Control0..01
                                            This element is affected by the following invariants: bdl-3
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            531. Bundle.entry:documentReference.response
                                            Definition

                                            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                            ShortResults of execution (transaction/batch/history)
                                            Control0..01
                                            This element is affected by the following invariants: bdl-4
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            535. Bundle.entry:flag
                                            Slice Nameflag
                                            Definition

                                            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                            ShortEntry in the bundle - will have a resource or information
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                            537. Bundle.entry:flag.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            539. Bundle.entry:flag.fullUrl
                                            Definition

                                            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                            • Results from operations might involve resources that are not identified.
                                            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                            Comments

                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                            Control10..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            541. Bundle.entry:flag.resource
                                            Definition

                                            Prospective warnings of potential issues when providing care to the patient.


                                            The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                            ShortKey information to flag to healthcare providersA resource in the bundle
                                            Control10..1
                                            TypeFlagResource(Flag: HDR)
                                            Is Modifierfalse
                                            Obligations
                                              ObligationsActor
                                              SHALL:handleHDR Handler
                                              Summaryfalse
                                              Alternate NamesBarriers to Care, Alert, Warning
                                              543. Bundle.entry:flag.search
                                              Definition

                                              Information about the search process that lead to the creation of this entry.

                                              ShortSearch related information
                                              Control0..01
                                              This element is affected by the following invariants: bdl-2
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              546. Bundle.entry:flag.request
                                              Definition

                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                              ShortAdditional execution information (transaction/batch/history)
                                              Control0..01
                                              This element is affected by the following invariants: bdl-3
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              551. Bundle.entry:flag.response
                                              Definition

                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                              ShortResults of execution (transaction/batch/history)
                                              Control0..01
                                              This element is affected by the following invariants: bdl-4
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              555. Bundle.entry:location
                                              Slice Namelocation
                                              Definition

                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                              ShortEntry in the bundle - will have a resource or information
                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              bdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                              557. Bundle.entry:location.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              559. Bundle.entry:location.fullUrl
                                              Definition

                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                              • Results from operations might involve resources that are not identified.
                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                              Comments

                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).


                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                              Control10..1
                                              Typeuri
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              561. Bundle.entry:location.resource
                                              Definition

                                              Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.


                                              The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                              ShortDetails and position information for a physical placeA resource in the bundle
                                              Control10..1
                                              TypeLocationResource(Location (EU base))
                                              Is Modifierfalse
                                              Summaryfalse
                                              563. Bundle.entry:location.search
                                              Definition

                                              Information about the search process that lead to the creation of this entry.

                                              ShortSearch related information
                                              Control0..01
                                              This element is affected by the following invariants: bdl-2
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              566. Bundle.entry:location.request
                                              Definition

                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                              ShortAdditional execution information (transaction/batch/history)
                                              Control0..01
                                              This element is affected by the following invariants: bdl-3
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              571. Bundle.entry:location.response
                                              Definition

                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                              ShortResults of execution (transaction/batch/history)
                                              Control0..01
                                              This element is affected by the following invariants: bdl-4
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                              Guidance on how to interpret the contents of this table can be found here

                                              0. Bundle
                                              2. Bundle.identifier
                                              ShortReport instance identifier
                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                              Obligations
                                                ObligationsActor
                                                SHALL:handleHDR Handler
                                                4. Bundle.timestamp
                                                ShortReport instance datetime
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handleHDR Handler
                                                  6. Bundle.entry
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:handleHDR Handler
                                                    8. Bundle.entry:composition
                                                    Slice Namecomposition
                                                    10. Bundle.entry:composition.resource
                                                    TypeComposition(Composition: HDR)
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:handleHDR Handler
                                                      12. Bundle.entry:patient
                                                      Slice Namepatient
                                                      14. Bundle.entry:patient.resource
                                                      TypePatient(Patient: HDR)
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handleHDR Handler
                                                        16. Bundle.entry:encounter
                                                        Slice Nameencounter
                                                        18. Bundle.entry:encounter.resource
                                                        TypeEncounter(Encounter: HDR)
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:handleHDR Handler
                                                          20. Bundle.entry:allergyIntolerance
                                                          Slice NameallergyIntolerance
                                                          22. Bundle.entry:allergyIntolerance.resource
                                                          TypeAllergyIntolerance(Allergy Intolerance: HDR)
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:handleHDR Handler
                                                            24. Bundle.entry:condition
                                                            Slice Namecondition
                                                            26. Bundle.entry:condition.resource
                                                            TypeCondition(Condition: HDR)
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:handleHDR Handler
                                                              28. Bundle.entry:device
                                                              Slice Namedevice
                                                              30. Bundle.entry:device.resource
                                                              TypeDevice(Device: HDR)
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:handleHDR Handler
                                                                32. Bundle.entry:deviceUseStatement
                                                                Slice NamedeviceUseStatement
                                                                34. Bundle.entry:deviceUseStatement.resource
                                                                TypeDeviceUseStatement(DeviceUseStatement: HDR)
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:handleHDR Handler
                                                                  36. Bundle.entry:medication
                                                                  Slice Namemedication
                                                                  38. Bundle.entry:medication.resource
                                                                  TypeMedication(Medication: HDR)
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:handleHDR Handler
                                                                    40. Bundle.entry:medicationRequest
                                                                    Slice NamemedicationRequest
                                                                    42. Bundle.entry:medicationRequest.resource
                                                                    TypeMedicationRequest(MedicationRequest: HDR)
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:handleHDR Handler
                                                                      44. Bundle.entry:medicationStatement
                                                                      Slice NamemedicationStatement
                                                                      46. Bundle.entry:medicationStatement.resource
                                                                      TypeMedicationStatement(MedicationStatement: HDR)
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:handleHDR Handler
                                                                        48. Bundle.entry:medicationDispense
                                                                        Slice NamemedicationDispense
                                                                        50. Bundle.entry:medicationDispense.resource
                                                                        TypeMedicationDispense(MedicationDispense: HDR)
                                                                        52. Bundle.entry:medicationAdministration
                                                                        Slice NamemedicationAdministration
                                                                        54. Bundle.entry:medicationAdministration.resource
                                                                        TypeMedicationAdministration(MedicationAdministration: HDR)
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:handleHDR Handler
                                                                          56. Bundle.entry:practitioner
                                                                          Slice Namepractitioner
                                                                          58. Bundle.entry:practitioner.resource
                                                                          TypePractitioner(Practitioner: HDR)
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:handleHDR Handler
                                                                            60. Bundle.entry:practitionerRole
                                                                            Slice NamepractitionerRole
                                                                            62. Bundle.entry:practitionerRole.resource
                                                                            TypePractitionerRole(PractitionerRole:: HDR)
                                                                            Obligations
                                                                              ObligationsActor
                                                                              SHALL:handleHDR Handler
                                                                              64. Bundle.entry:procedure
                                                                              Slice Nameprocedure
                                                                              66. Bundle.entry:procedure.resource
                                                                              TypeProcedure(Procedure: HDR)
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:handleHDR Handler
                                                                                68. Bundle.entry:organization
                                                                                Slice Nameorganization
                                                                                70. Bundle.entry:organization.resource
                                                                                TypeOrganization(Organization: HDR)
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:handleHDR Handler
                                                                                  72. Bundle.entry:observation
                                                                                  Slice Nameobservation
                                                                                  74. Bundle.entry:observation.resource
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHALL:handleHDR Handler
                                                                                    76. Bundle.entry:specimen
                                                                                    Slice Namespecimen
                                                                                    78. Bundle.entry:specimen.resource
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:handleHDR Handler
                                                                                      80. Bundle.entry:flag
                                                                                      Slice Nameflag
                                                                                      82. Bundle.entry:flag.resource
                                                                                      TypeFlag(Flag: HDR)
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:handleHDR Handler

                                                                                        Guidance on how to interpret the contents of this table can be found here

                                                                                        0. Bundle
                                                                                        Definition

                                                                                        Hospital Discharge Report bundle.

                                                                                        ShortHospital Discharge Report bundle
                                                                                        Control0..*
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
                                                                                        bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
                                                                                        bdl-3: 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: 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-7: 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-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
                                                                                        bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
                                                                                        bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
                                                                                        bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
                                                                                        bdl-hdr-1: An IPS document must have no additional Composition (including Composition subclass) resources besides the first. (entry.tail().where(resource is Composition).empty())
                                                                                        2. Bundle.id
                                                                                        Definition

                                                                                        The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                                        ShortLogical id of this artifact
                                                                                        Comments

                                                                                        The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                                                        Control0..1
                                                                                        Typeid
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        4. Bundle.meta
                                                                                        Definition

                                                                                        The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                                        ShortMetadata about the resource
                                                                                        Control0..1
                                                                                        TypeMeta
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        6. Bundle.implicitRules
                                                                                        Definition

                                                                                        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                                        ShortA set of rules under which this content was created
                                                                                        Comments

                                                                                        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                                                        Control0..1
                                                                                        Typeuri
                                                                                        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        8. Bundle.language
                                                                                        Definition

                                                                                        The base language in which the resource is written.

                                                                                        ShortLanguage of the resource content
                                                                                        Comments

                                                                                        Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                                                        Control0..1
                                                                                        BindingThe codes SHOULD be taken from CommonLanguages
                                                                                        (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                                                        A human language.

                                                                                        Additional BindingsPurpose
                                                                                        AllLanguagesMax Binding
                                                                                        Typecode
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summaryfalse
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        10. Bundle.identifier
                                                                                        Definition

                                                                                        A persistent identifier for the bundle that won't change as a bundle is copied from server to server.

                                                                                        ShortReport instance identifier
                                                                                        Comments

                                                                                        Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents the .identifier SHALL be populated such that the .identifier is globally unique.

                                                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                        Control1..1
                                                                                        TypeIdentifier
                                                                                        Is Modifierfalse
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:handleHDR Handler
                                                                                          Summarytrue
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          12. Bundle.type
                                                                                          Definition

                                                                                          Indicates the purpose of this bundle - how it is intended to be used.

                                                                                          Shortdocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
                                                                                          Comments

                                                                                          It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.

                                                                                          Control1..1
                                                                                          BindingThe codes SHALL be taken from BundleType
                                                                                          (required to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1)

                                                                                          Indicates the purpose of a bundle - how it is intended to be used.

                                                                                          Typecode
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Fixed Valuedocument
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          14. Bundle.timestamp
                                                                                          Definition

                                                                                          The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

                                                                                          ShortReport instance datetime
                                                                                          Comments

                                                                                          For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.

                                                                                          Usage:

                                                                                          • document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time
                                                                                          • message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message
                                                                                          • history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates
                                                                                          • searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query
                                                                                          • transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning

                                                                                          The timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.

                                                                                          Control1..1
                                                                                          Typeinstant
                                                                                          Is Modifierfalse
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:handleHDR Handler
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            16. Bundle.total
                                                                                            Definition

                                                                                            If a set of search matches, this is the total number of entries of type 'match' across all pages in the search. It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle.

                                                                                            ShortIf search, the total number of matches
                                                                                            Comments

                                                                                            Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.

                                                                                            Control0..1
                                                                                            This element is affected by the following invariants: bdl-1
                                                                                            TypeunsignedInt
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            18. Bundle.link
                                                                                            Definition

                                                                                            A series of links that provide context to this bundle.

                                                                                            ShortLinks related to this Bundle
                                                                                            Comments

                                                                                            Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS).

                                                                                            Bundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was read directly.

                                                                                            This specification defines some specific uses of Bundle.link for searching and paging, but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.

                                                                                            Control0..0
                                                                                            TypeBackboneElement
                                                                                            Is Modifierfalse
                                                                                            Summarytrue
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            25. Bundle.entry
                                                                                            Definition

                                                                                            An entry resource included in the Hospital Discharge Report document bundle resource.

                                                                                            ShortEntry resource in the Hospital Discharge Report bundle
                                                                                            Comments

                                                                                            Must contain the HDR Composition as the first entry (only a single Composition resource instance may be included). Additional constraints are specified in the HDR Composition profile.

                                                                                            Control3..*
                                                                                            TypeBackboneElement
                                                                                            Is Modifierfalse
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:handleHDR Handler
                                                                                              Summarytrue
                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              SlicingThis element introduces a set of slices on Bundle.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • type @ resource
                                                                                              • profile @ resource
                                                                                              • 27. Bundle.entry.id
                                                                                                Definition

                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                29. Bundle.entry.extension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                ShortAdditional content defined by implementations
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Alternate Namesextensions, user content
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                31. Bundle.entry.modifierExtension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                33. Bundle.entry.link
                                                                                                Definition

                                                                                                A series of links that provide context to this entry.

                                                                                                ShortLinks related to this entry
                                                                                                Control0..*
                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                35. Bundle.entry.fullUrl
                                                                                                Definition

                                                                                                The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                • Results from operations might involve resources that are not identified.
                                                                                                ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                Comments

                                                                                                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                37. Bundle.entry.resource
                                                                                                Definition

                                                                                                The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                                                                                ShortA resource in the bundle
                                                                                                Control1..1
                                                                                                TypeResource
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                39. Bundle.entry.search
                                                                                                Definition

                                                                                                Information about the search process that lead to the creation of this entry.

                                                                                                ShortSearch related information
                                                                                                Control0..0
                                                                                                This element is affected by the following invariants: bdl-2
                                                                                                TypeBackboneElement
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                46. Bundle.entry.request
                                                                                                Definition

                                                                                                Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                ShortAdditional execution information (transaction/batch/history)
                                                                                                Control0..0
                                                                                                This element is affected by the following invariants: bdl-3
                                                                                                TypeBackboneElement
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                57. Bundle.entry.response
                                                                                                Definition

                                                                                                Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                ShortResults of execution (transaction/batch/history)
                                                                                                Control0..0
                                                                                                This element is affected by the following invariants: bdl-4
                                                                                                TypeBackboneElement
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                67. Bundle.entry:composition
                                                                                                Slice Namecomposition
                                                                                                Definition

                                                                                                An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                ShortEntry in the bundle - will have a resource or information
                                                                                                Control1..1
                                                                                                TypeBackboneElement
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                69. Bundle.entry:composition.id
                                                                                                Definition

                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                ShortUnique id for inter-element referencing
                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                Summaryfalse
                                                                                                71. Bundle.entry:composition.extension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                ShortAdditional content defined by implementations
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifierfalse
                                                                                                Summaryfalse
                                                                                                Alternate Namesextensions, user content
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                73. Bundle.entry:composition.modifierExtension
                                                                                                Definition

                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                Comments

                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                Control0..*
                                                                                                TypeExtension
                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                75. Bundle.entry:composition.link
                                                                                                Definition

                                                                                                A series of links that provide context to this entry.

                                                                                                ShortLinks related to this entry
                                                                                                Control0..*
                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                77. Bundle.entry:composition.fullUrl
                                                                                                Definition

                                                                                                The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                • Results from operations might involve resources that are not identified.
                                                                                                ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                Comments

                                                                                                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                Control1..1
                                                                                                Typeuri
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                79. Bundle.entry:composition.resource
                                                                                                Definition

                                                                                                Hospital Discharge Report composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.

                                                                                                ShortHospital Discharge Report composition
                                                                                                Comments

                                                                                                While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                                                                                                Control1..1
                                                                                                TypeComposition(Composition: HDR)
                                                                                                Is Modifierfalse
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHALL:handleHDR Handler
                                                                                                  Summaryfalse
                                                                                                  81. Bundle.entry:composition.search
                                                                                                  Definition

                                                                                                  Information about the search process that lead to the creation of this entry.

                                                                                                  ShortSearch related information
                                                                                                  Control0..0
                                                                                                  This element is affected by the following invariants: bdl-2
                                                                                                  TypeBackboneElement
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  88. Bundle.entry:composition.request
                                                                                                  Definition

                                                                                                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                  ShortAdditional execution information (transaction/batch/history)
                                                                                                  Control0..0
                                                                                                  This element is affected by the following invariants: bdl-3
                                                                                                  TypeBackboneElement
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  99. Bundle.entry:composition.response
                                                                                                  Definition

                                                                                                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                  ShortResults of execution (transaction/batch/history)
                                                                                                  Control0..0
                                                                                                  This element is affected by the following invariants: bdl-4
                                                                                                  TypeBackboneElement
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  109. Bundle.entry:patient
                                                                                                  Slice Namepatient
                                                                                                  Definition

                                                                                                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                  ShortEntry in the bundle - will have a resource or information
                                                                                                  Control1..1
                                                                                                  TypeBackboneElement
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  111. Bundle.entry:patient.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  113. Bundle.entry:patient.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  115. Bundle.entry:patient.modifierExtension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                  Summarytrue
                                                                                                  Requirements

                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  117. Bundle.entry:patient.link
                                                                                                  Definition

                                                                                                  A series of links that provide context to this entry.

                                                                                                  ShortLinks related to this entry
                                                                                                  Control0..*
                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                  Is Modifierfalse
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  119. Bundle.entry:patient.fullUrl
                                                                                                  Definition

                                                                                                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                  • Results from operations might involve resources that are not identified.
                                                                                                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                  Comments

                                                                                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                  Control1..1
                                                                                                  Typeuri
                                                                                                  Is Modifierfalse
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  Summarytrue
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  121. Bundle.entry:patient.resource
                                                                                                  Definition

                                                                                                  Demographics and other administrative information about an individual or animal receiving care or other health-related services.

                                                                                                  ShortInformation about an individual or animal receiving health care services
                                                                                                  Control1..1
                                                                                                  TypePatient(Patient: HDR)
                                                                                                  Is Modifierfalse
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHALL:handleHDR Handler
                                                                                                    Summaryfalse
                                                                                                    Alternate NamesSubjectOfCare Client Resident
                                                                                                    123. Bundle.entry:patient.search
                                                                                                    Definition

                                                                                                    Information about the search process that lead to the creation of this entry.

                                                                                                    ShortSearch related information
                                                                                                    Control0..0
                                                                                                    This element is affected by the following invariants: bdl-2
                                                                                                    TypeBackboneElement
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    130. Bundle.entry:patient.request
                                                                                                    Definition

                                                                                                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                    ShortAdditional execution information (transaction/batch/history)
                                                                                                    Control0..0
                                                                                                    This element is affected by the following invariants: bdl-3
                                                                                                    TypeBackboneElement
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    141. Bundle.entry:patient.response
                                                                                                    Definition

                                                                                                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                    ShortResults of execution (transaction/batch/history)
                                                                                                    Control0..0
                                                                                                    This element is affected by the following invariants: bdl-4
                                                                                                    TypeBackboneElement
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    151. Bundle.entry:encounter
                                                                                                    Slice Nameencounter
                                                                                                    Definition

                                                                                                    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                    ShortEntry in the bundle - will have a resource or information
                                                                                                    Control1..*
                                                                                                    TypeBackboneElement
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    153. Bundle.entry:encounter.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    155. Bundle.entry:encounter.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    157. Bundle.entry:encounter.modifierExtension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    159. Bundle.entry:encounter.link
                                                                                                    Definition

                                                                                                    A series of links that provide context to this entry.

                                                                                                    ShortLinks related to this entry
                                                                                                    Control0..*
                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                    Is Modifierfalse
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    161. Bundle.entry:encounter.fullUrl
                                                                                                    Definition

                                                                                                    The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                    • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                    • Results from operations might involve resources that are not identified.
                                                                                                    ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                    Comments

                                                                                                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                    Control1..1
                                                                                                    Typeuri
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    163. Bundle.entry:encounter.resource
                                                                                                    Definition

                                                                                                    An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

                                                                                                    ShortAn interaction during which services are provided to the patient
                                                                                                    Control1..1
                                                                                                    TypeEncounter(Encounter: HDR)
                                                                                                    Is Modifierfalse
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHALL:handleHDR Handler
                                                                                                      Summaryfalse
                                                                                                      Alternate NamesVisit
                                                                                                      165. Bundle.entry:encounter.search
                                                                                                      Definition

                                                                                                      Information about the search process that lead to the creation of this entry.

                                                                                                      ShortSearch related information
                                                                                                      Control0..0
                                                                                                      This element is affected by the following invariants: bdl-2
                                                                                                      TypeBackboneElement
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      172. Bundle.entry:encounter.request
                                                                                                      Definition

                                                                                                      Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                      ShortAdditional execution information (transaction/batch/history)
                                                                                                      Control0..0
                                                                                                      This element is affected by the following invariants: bdl-3
                                                                                                      TypeBackboneElement
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      183. Bundle.entry:encounter.response
                                                                                                      Definition

                                                                                                      Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                      ShortResults of execution (transaction/batch/history)
                                                                                                      Control0..0
                                                                                                      This element is affected by the following invariants: bdl-4
                                                                                                      TypeBackboneElement
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      193. Bundle.entry:allergyIntolerance
                                                                                                      Slice NameallergyIntolerance
                                                                                                      Definition

                                                                                                      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                      ShortEntry in the bundle - will have a resource or information
                                                                                                      Control0..*
                                                                                                      TypeBackboneElement
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      195. Bundle.entry:allergyIntolerance.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      197. Bundle.entry:allergyIntolerance.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      199. Bundle.entry:allergyIntolerance.modifierExtension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      201. Bundle.entry:allergyIntolerance.link
                                                                                                      Definition

                                                                                                      A series of links that provide context to this entry.

                                                                                                      ShortLinks related to this entry
                                                                                                      Control0..*
                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      203. Bundle.entry:allergyIntolerance.fullUrl
                                                                                                      Definition

                                                                                                      The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                      • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                      • Results from operations might involve resources that are not identified.
                                                                                                      ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                      Comments

                                                                                                      fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                      Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                      Control1..1
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      205. Bundle.entry:allergyIntolerance.resource
                                                                                                      Definition

                                                                                                      Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.

                                                                                                      ShortAllergy or Intolerance (generally: Risk of adverse reaction to a substance)
                                                                                                      Comments

                                                                                                      Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.

                                                                                                      Control1..1
                                                                                                      TypeAllergyIntolerance(Allergy Intolerance: HDR)
                                                                                                      Is Modifierfalse
                                                                                                      Obligations
                                                                                                        ObligationsActor
                                                                                                        SHALL:handleHDR Handler
                                                                                                        Summaryfalse
                                                                                                        Alternate NamesAllergy, Intolerance, Adverse Reaction
                                                                                                        207. Bundle.entry:allergyIntolerance.search
                                                                                                        Definition

                                                                                                        Information about the search process that lead to the creation of this entry.

                                                                                                        ShortSearch related information
                                                                                                        Control0..0
                                                                                                        This element is affected by the following invariants: bdl-2
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        214. Bundle.entry:allergyIntolerance.request
                                                                                                        Definition

                                                                                                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                        ShortAdditional execution information (transaction/batch/history)
                                                                                                        Control0..0
                                                                                                        This element is affected by the following invariants: bdl-3
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        225. Bundle.entry:allergyIntolerance.response
                                                                                                        Definition

                                                                                                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                        ShortResults of execution (transaction/batch/history)
                                                                                                        Control0..0
                                                                                                        This element is affected by the following invariants: bdl-4
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        235. Bundle.entry:condition
                                                                                                        Slice Namecondition
                                                                                                        Definition

                                                                                                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                        ShortEntry in the bundle - will have a resource or information
                                                                                                        Control0..*
                                                                                                        TypeBackboneElement
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        237. Bundle.entry:condition.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        239. Bundle.entry:condition.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        241. Bundle.entry:condition.modifierExtension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        243. Bundle.entry:condition.link
                                                                                                        Definition

                                                                                                        A series of links that provide context to this entry.

                                                                                                        ShortLinks related to this entry
                                                                                                        Control0..*
                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        245. Bundle.entry:condition.fullUrl
                                                                                                        Definition

                                                                                                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                        • Results from operations might involve resources that are not identified.
                                                                                                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                        Comments

                                                                                                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                        Control1..1
                                                                                                        Typeuri
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        247. Bundle.entry:condition.resource
                                                                                                        Definition

                                                                                                        A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

                                                                                                        ShortDetailed information about conditions, problems or diagnoses
                                                                                                        Control1..1
                                                                                                        TypeCondition(Condition: HDR)
                                                                                                        Is Modifierfalse
                                                                                                        Obligations
                                                                                                          ObligationsActor
                                                                                                          SHALL:handleHDR Handler
                                                                                                          Summaryfalse
                                                                                                          249. Bundle.entry:condition.search
                                                                                                          Definition

                                                                                                          Information about the search process that lead to the creation of this entry.

                                                                                                          ShortSearch related information
                                                                                                          Control0..0
                                                                                                          This element is affected by the following invariants: bdl-2
                                                                                                          TypeBackboneElement
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          256. Bundle.entry:condition.request
                                                                                                          Definition

                                                                                                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                          ShortAdditional execution information (transaction/batch/history)
                                                                                                          Control0..0
                                                                                                          This element is affected by the following invariants: bdl-3
                                                                                                          TypeBackboneElement
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          267. Bundle.entry:condition.response
                                                                                                          Definition

                                                                                                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                          ShortResults of execution (transaction/batch/history)
                                                                                                          Control0..0
                                                                                                          This element is affected by the following invariants: bdl-4
                                                                                                          TypeBackboneElement
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          277. Bundle.entry:device
                                                                                                          Slice Namedevice
                                                                                                          Definition

                                                                                                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                          ShortEntry in the bundle - will have a resource or information
                                                                                                          Control0..*
                                                                                                          TypeBackboneElement
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          279. Bundle.entry:device.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          281. Bundle.entry:device.extension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                          ShortAdditional content defined by implementations
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Alternate Namesextensions, user content
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          283. Bundle.entry:device.modifierExtension
                                                                                                          Definition

                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                          Comments

                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          285. Bundle.entry:device.link
                                                                                                          Definition

                                                                                                          A series of links that provide context to this entry.

                                                                                                          ShortLinks related to this entry
                                                                                                          Control0..*
                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          287. Bundle.entry:device.fullUrl
                                                                                                          Definition

                                                                                                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                          • Results from operations might involve resources that are not identified.
                                                                                                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                          Comments

                                                                                                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                          Control1..1
                                                                                                          Typeuri
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          289. Bundle.entry:device.resource
                                                                                                          Definition

                                                                                                          A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.

                                                                                                          ShortItem used in healthcare
                                                                                                          Control1..1
                                                                                                          TypeDevice(Device: HDR)
                                                                                                          Is Modifierfalse
                                                                                                          Obligations
                                                                                                            ObligationsActor
                                                                                                            SHALL:handleHDR Handler
                                                                                                            Summaryfalse
                                                                                                            291. Bundle.entry:device.search
                                                                                                            Definition

                                                                                                            Information about the search process that lead to the creation of this entry.

                                                                                                            ShortSearch related information
                                                                                                            Control0..0
                                                                                                            This element is affected by the following invariants: bdl-2
                                                                                                            TypeBackboneElement
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            298. Bundle.entry:device.request
                                                                                                            Definition

                                                                                                            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                            ShortAdditional execution information (transaction/batch/history)
                                                                                                            Control0..0
                                                                                                            This element is affected by the following invariants: bdl-3
                                                                                                            TypeBackboneElement
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            309. Bundle.entry:device.response
                                                                                                            Definition

                                                                                                            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                            ShortResults of execution (transaction/batch/history)
                                                                                                            Control0..0
                                                                                                            This element is affected by the following invariants: bdl-4
                                                                                                            TypeBackboneElement
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            319. Bundle.entry:deviceUseStatement
                                                                                                            Slice NamedeviceUseStatement
                                                                                                            Definition

                                                                                                            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                            ShortEntry in the bundle - will have a resource or information
                                                                                                            Control0..*
                                                                                                            TypeBackboneElement
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            321. Bundle.entry:deviceUseStatement.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            323. Bundle.entry:deviceUseStatement.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            325. Bundle.entry:deviceUseStatement.modifierExtension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            327. Bundle.entry:deviceUseStatement.link
                                                                                                            Definition

                                                                                                            A series of links that provide context to this entry.

                                                                                                            ShortLinks related to this entry
                                                                                                            Control0..*
                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                            Is Modifierfalse
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            329. Bundle.entry:deviceUseStatement.fullUrl
                                                                                                            Definition

                                                                                                            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                            • Results from operations might involve resources that are not identified.
                                                                                                            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                            Comments

                                                                                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                            Control1..1
                                                                                                            Typeuri
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Summarytrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            331. Bundle.entry:deviceUseStatement.resource
                                                                                                            Definition

                                                                                                            A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.

                                                                                                            ShortRecord of use of a device
                                                                                                            Control1..1
                                                                                                            TypeDeviceUseStatement(DeviceUseStatement: HDR)
                                                                                                            Is Modifierfalse
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:handleHDR Handler
                                                                                                              Summaryfalse
                                                                                                              333. Bundle.entry:deviceUseStatement.search
                                                                                                              Definition

                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                              ShortSearch related information
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              340. Bundle.entry:deviceUseStatement.request
                                                                                                              Definition

                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              351. Bundle.entry:deviceUseStatement.response
                                                                                                              Definition

                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              361. Bundle.entry:diagnosticReport
                                                                                                              Slice NamediagnosticReport
                                                                                                              Definition

                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                              Control0..*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              363. Bundle.entry:diagnosticReport.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              365. Bundle.entry:diagnosticReport.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              367. Bundle.entry:diagnosticReport.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              369. Bundle.entry:diagnosticReport.link
                                                                                                              Definition

                                                                                                              A series of links that provide context to this entry.

                                                                                                              ShortLinks related to this entry
                                                                                                              Control0..*
                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              371. Bundle.entry:diagnosticReport.fullUrl
                                                                                                              Definition

                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                              Comments

                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              373. Bundle.entry:diagnosticReport.resource
                                                                                                              Definition

                                                                                                              The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.

                                                                                                              ShortA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
                                                                                                              Comments

                                                                                                              This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

                                                                                                              Control1..1
                                                                                                              TypeDiagnosticReport(DiagnosticReport (IPS))
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate NamesReport, Test, Result, Results, Labs, Laboratory
                                                                                                              375. Bundle.entry:diagnosticReport.search
                                                                                                              Definition

                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                              ShortSearch related information
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              382. Bundle.entry:diagnosticReport.request
                                                                                                              Definition

                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              393. Bundle.entry:diagnosticReport.response
                                                                                                              Definition

                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              403. Bundle.entry:imagingStudy
                                                                                                              Slice NameimagingStudy
                                                                                                              Definition

                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                              Control0..*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              405. Bundle.entry:imagingStudy.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              407. Bundle.entry:imagingStudy.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              409. Bundle.entry:imagingStudy.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              411. Bundle.entry:imagingStudy.link
                                                                                                              Definition

                                                                                                              A series of links that provide context to this entry.

                                                                                                              ShortLinks related to this entry
                                                                                                              Control0..*
                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              413. Bundle.entry:imagingStudy.fullUrl
                                                                                                              Definition

                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                              Comments

                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              415. Bundle.entry:imagingStudy.resource
                                                                                                              Definition

                                                                                                              Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.

                                                                                                              ShortA set of images produced in single study (one or more series of references images)
                                                                                                              Control1..1
                                                                                                              TypeImagingStudy(ImagingStudy (IPS))
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              417. Bundle.entry:imagingStudy.search
                                                                                                              Definition

                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                              ShortSearch related information
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              424. Bundle.entry:imagingStudy.request
                                                                                                              Definition

                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              435. Bundle.entry:imagingStudy.response
                                                                                                              Definition

                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              445. Bundle.entry:immunization
                                                                                                              Slice Nameimmunization
                                                                                                              Definition

                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                              Control0..*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              447. Bundle.entry:immunization.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              449. Bundle.entry:immunization.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              451. Bundle.entry:immunization.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              453. Bundle.entry:immunization.link
                                                                                                              Definition

                                                                                                              A series of links that provide context to this entry.

                                                                                                              ShortLinks related to this entry
                                                                                                              Control0..*
                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              455. Bundle.entry:immunization.fullUrl
                                                                                                              Definition

                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                              Comments

                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              457. Bundle.entry:immunization.resource
                                                                                                              Definition

                                                                                                              Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.

                                                                                                              ShortImmunization event information
                                                                                                              Control1..1
                                                                                                              TypeImmunization(Immunization (HDR))
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              459. Bundle.entry:immunization.search
                                                                                                              Definition

                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                              ShortSearch related information
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              466. Bundle.entry:immunization.request
                                                                                                              Definition

                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              477. Bundle.entry:immunization.response
                                                                                                              Definition

                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              487. Bundle.entry:immunizationRecommendation
                                                                                                              Slice NameimmunizationRecommendation
                                                                                                              Definition

                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                              Control0..*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              489. Bundle.entry:immunizationRecommendation.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              491. Bundle.entry:immunizationRecommendation.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              493. Bundle.entry:immunizationRecommendation.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              495. Bundle.entry:immunizationRecommendation.link
                                                                                                              Definition

                                                                                                              A series of links that provide context to this entry.

                                                                                                              ShortLinks related to this entry
                                                                                                              Control0..*
                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              497. Bundle.entry:immunizationRecommendation.fullUrl
                                                                                                              Definition

                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                              Comments

                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              499. Bundle.entry:immunizationRecommendation.resource
                                                                                                              Definition

                                                                                                              A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.

                                                                                                              ShortGuidance or advice relating to an immunization
                                                                                                              Control1..1
                                                                                                              TypeImmunizationRecommendation(ImmunizationRecommendation (HDR))
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              501. Bundle.entry:immunizationRecommendation.search
                                                                                                              Definition

                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                              ShortSearch related information
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              508. Bundle.entry:immunizationRecommendation.request
                                                                                                              Definition

                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              519. Bundle.entry:immunizationRecommendation.response
                                                                                                              Definition

                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              529. Bundle.entry:media
                                                                                                              Slice Namemedia
                                                                                                              Definition

                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                              Control0..*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              531. Bundle.entry:media.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              533. Bundle.entry:media.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              535. Bundle.entry:media.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              537. Bundle.entry:media.link
                                                                                                              Definition

                                                                                                              A series of links that provide context to this entry.

                                                                                                              ShortLinks related to this entry
                                                                                                              Control0..*
                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              539. Bundle.entry:media.fullUrl
                                                                                                              Definition

                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                              Comments

                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              541. Bundle.entry:media.resource
                                                                                                              Definition

                                                                                                              The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                                                                                              ShortA resource in the bundle
                                                                                                              Control1..1
                                                                                                              TypeMedia
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              543. Bundle.entry:media.search
                                                                                                              Definition

                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                              ShortSearch related information
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              550. Bundle.entry:media.request
                                                                                                              Definition

                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              561. Bundle.entry:media.response
                                                                                                              Definition

                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                              Control0..0
                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              571. Bundle.entry:medication
                                                                                                              Slice Namemedication
                                                                                                              Definition

                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                              Control0..*
                                                                                                              TypeBackboneElement
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              573. Bundle.entry:medication.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              575. Bundle.entry:medication.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              577. Bundle.entry:medication.modifierExtension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              579. Bundle.entry:medication.link
                                                                                                              Definition

                                                                                                              A series of links that provide context to this entry.

                                                                                                              ShortLinks related to this entry
                                                                                                              Control0..*
                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                              Is Modifierfalse
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              581. Bundle.entry:medication.fullUrl
                                                                                                              Definition

                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                              Comments

                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                              Control1..1
                                                                                                              Typeuri
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              583. Bundle.entry:medication.resource
                                                                                                              Definition

                                                                                                              This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

                                                                                                              ShortDefinition of a Medication
                                                                                                              Control1..1
                                                                                                              TypeMedication(Medication: HDR)
                                                                                                              Is Modifierfalse
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:handleHDR Handler
                                                                                                                Summaryfalse
                                                                                                                585. Bundle.entry:medication.search
                                                                                                                Definition

                                                                                                                Information about the search process that lead to the creation of this entry.

                                                                                                                ShortSearch related information
                                                                                                                Control0..0
                                                                                                                This element is affected by the following invariants: bdl-2
                                                                                                                TypeBackboneElement
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                592. Bundle.entry:medication.request
                                                                                                                Definition

                                                                                                                Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                ShortAdditional execution information (transaction/batch/history)
                                                                                                                Control0..0
                                                                                                                This element is affected by the following invariants: bdl-3
                                                                                                                TypeBackboneElement
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                603. Bundle.entry:medication.response
                                                                                                                Definition

                                                                                                                Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                ShortResults of execution (transaction/batch/history)
                                                                                                                Control0..0
                                                                                                                This element is affected by the following invariants: bdl-4
                                                                                                                TypeBackboneElement
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                613. Bundle.entry:medicationRequest
                                                                                                                Slice NamemedicationRequest
                                                                                                                Definition

                                                                                                                An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                ShortEntry in the bundle - will have a resource or information
                                                                                                                Control0..*
                                                                                                                TypeBackboneElement
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                615. Bundle.entry:medicationRequest.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                617. Bundle.entry:medicationRequest.extension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                619. Bundle.entry:medicationRequest.modifierExtension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                Comments

                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                621. Bundle.entry:medicationRequest.link
                                                                                                                Definition

                                                                                                                A series of links that provide context to this entry.

                                                                                                                ShortLinks related to this entry
                                                                                                                Control0..*
                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                Is Modifierfalse
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                623. Bundle.entry:medicationRequest.fullUrl
                                                                                                                Definition

                                                                                                                The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                • Results from operations might involve resources that are not identified.
                                                                                                                ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                Comments

                                                                                                                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                Control1..1
                                                                                                                Typeuri
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                625. Bundle.entry:medicationRequest.resource
                                                                                                                Definition

                                                                                                                An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.

                                                                                                                ShortOrdering of medication for patient or group
                                                                                                                Control1..1
                                                                                                                TypeMedicationRequest(MedicationRequest: HDR)
                                                                                                                Is Modifierfalse
                                                                                                                Obligations
                                                                                                                  ObligationsActor
                                                                                                                  SHALL:handleHDR Handler
                                                                                                                  Summaryfalse
                                                                                                                  Alternate NamesPrescription, Order
                                                                                                                  627. Bundle.entry:medicationRequest.search
                                                                                                                  Definition

                                                                                                                  Information about the search process that lead to the creation of this entry.

                                                                                                                  ShortSearch related information
                                                                                                                  Control0..0
                                                                                                                  This element is affected by the following invariants: bdl-2
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  634. Bundle.entry:medicationRequest.request
                                                                                                                  Definition

                                                                                                                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                  ShortAdditional execution information (transaction/batch/history)
                                                                                                                  Control0..0
                                                                                                                  This element is affected by the following invariants: bdl-3
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  645. Bundle.entry:medicationRequest.response
                                                                                                                  Definition

                                                                                                                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                  ShortResults of execution (transaction/batch/history)
                                                                                                                  Control0..0
                                                                                                                  This element is affected by the following invariants: bdl-4
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  655. Bundle.entry:medicationStatement
                                                                                                                  Slice NamemedicationStatement
                                                                                                                  Definition

                                                                                                                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                  ShortEntry in the bundle - will have a resource or information
                                                                                                                  Control0..*
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  657. Bundle.entry:medicationStatement.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  659. Bundle.entry:medicationStatement.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  661. Bundle.entry:medicationStatement.modifierExtension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  663. Bundle.entry:medicationStatement.link
                                                                                                                  Definition

                                                                                                                  A series of links that provide context to this entry.

                                                                                                                  ShortLinks related to this entry
                                                                                                                  Control0..*
                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  665. Bundle.entry:medicationStatement.fullUrl
                                                                                                                  Definition

                                                                                                                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                  • Results from operations might involve resources that are not identified.
                                                                                                                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                  Comments

                                                                                                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                  Control1..1
                                                                                                                  Typeuri
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  667. Bundle.entry:medicationStatement.resource
                                                                                                                  Definition

                                                                                                                  A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.

                                                                                                                  The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.

                                                                                                                  ShortRecord of medication being taken by a patient
                                                                                                                  Comments

                                                                                                                  When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error.

                                                                                                                  Control1..1
                                                                                                                  TypeMedicationStatement(MedicationStatement: HDR)
                                                                                                                  Is Modifierfalse
                                                                                                                  Obligations
                                                                                                                    ObligationsActor
                                                                                                                    SHALL:handleHDR Handler
                                                                                                                    Summaryfalse
                                                                                                                    669. Bundle.entry:medicationStatement.search
                                                                                                                    Definition

                                                                                                                    Information about the search process that lead to the creation of this entry.

                                                                                                                    ShortSearch related information
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: bdl-2
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    676. Bundle.entry:medicationStatement.request
                                                                                                                    Definition

                                                                                                                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                    ShortAdditional execution information (transaction/batch/history)
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: bdl-3
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    687. Bundle.entry:medicationStatement.response
                                                                                                                    Definition

                                                                                                                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                    ShortResults of execution (transaction/batch/history)
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: bdl-4
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    697. Bundle.entry:medicationDispense
                                                                                                                    Slice NamemedicationDispense
                                                                                                                    Definition

                                                                                                                    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                    ShortEntry in the bundle - will have a resource or information
                                                                                                                    Control0..*
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    699. Bundle.entry:medicationDispense.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    701. Bundle.entry:medicationDispense.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    703. Bundle.entry:medicationDispense.modifierExtension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    705. Bundle.entry:medicationDispense.link
                                                                                                                    Definition

                                                                                                                    A series of links that provide context to this entry.

                                                                                                                    ShortLinks related to this entry
                                                                                                                    Control0..*
                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    707. Bundle.entry:medicationDispense.fullUrl
                                                                                                                    Definition

                                                                                                                    The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                    • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                    • Results from operations might involve resources that are not identified.
                                                                                                                    ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                    Comments

                                                                                                                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                    Control1..1
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    709. Bundle.entry:medicationDispense.resource
                                                                                                                    Definition

                                                                                                                    Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.

                                                                                                                    ShortDispensing a medication to a named patient
                                                                                                                    Control1..1
                                                                                                                    TypeMedicationDispense(MedicationDispense: HDR)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    711. Bundle.entry:medicationDispense.search
                                                                                                                    Definition

                                                                                                                    Information about the search process that lead to the creation of this entry.

                                                                                                                    ShortSearch related information
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: bdl-2
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    718. Bundle.entry:medicationDispense.request
                                                                                                                    Definition

                                                                                                                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                    ShortAdditional execution information (transaction/batch/history)
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: bdl-3
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    729. Bundle.entry:medicationDispense.response
                                                                                                                    Definition

                                                                                                                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                    ShortResults of execution (transaction/batch/history)
                                                                                                                    Control0..0
                                                                                                                    This element is affected by the following invariants: bdl-4
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    739. Bundle.entry:medicationAdministration
                                                                                                                    Slice NamemedicationAdministration
                                                                                                                    Definition

                                                                                                                    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                    ShortEntry in the bundle - will have a resource or information
                                                                                                                    Control0..*
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    741. Bundle.entry:medicationAdministration.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    743. Bundle.entry:medicationAdministration.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    745. Bundle.entry:medicationAdministration.modifierExtension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    747. Bundle.entry:medicationAdministration.link
                                                                                                                    Definition

                                                                                                                    A series of links that provide context to this entry.

                                                                                                                    ShortLinks related to this entry
                                                                                                                    Control0..*
                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    749. Bundle.entry:medicationAdministration.fullUrl
                                                                                                                    Definition

                                                                                                                    The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                    • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                    • Results from operations might involve resources that are not identified.
                                                                                                                    ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                    Comments

                                                                                                                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                    Control1..1
                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    751. Bundle.entry:medicationAdministration.resource
                                                                                                                    Definition

                                                                                                                    Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.

                                                                                                                    ShortAdministration of medication to a patient
                                                                                                                    Control1..1
                                                                                                                    TypeMedicationAdministration(MedicationAdministration: HDR)
                                                                                                                    Is Modifierfalse
                                                                                                                    Obligations
                                                                                                                      ObligationsActor
                                                                                                                      SHALL:handleHDR Handler
                                                                                                                      Summaryfalse
                                                                                                                      753. Bundle.entry:medicationAdministration.search
                                                                                                                      Definition

                                                                                                                      Information about the search process that lead to the creation of this entry.

                                                                                                                      ShortSearch related information
                                                                                                                      Control0..0
                                                                                                                      This element is affected by the following invariants: bdl-2
                                                                                                                      TypeBackboneElement
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      760. Bundle.entry:medicationAdministration.request
                                                                                                                      Definition

                                                                                                                      Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                      ShortAdditional execution information (transaction/batch/history)
                                                                                                                      Control0..0
                                                                                                                      This element is affected by the following invariants: bdl-3
                                                                                                                      TypeBackboneElement
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      771. Bundle.entry:medicationAdministration.response
                                                                                                                      Definition

                                                                                                                      Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                      ShortResults of execution (transaction/batch/history)
                                                                                                                      Control0..0
                                                                                                                      This element is affected by the following invariants: bdl-4
                                                                                                                      TypeBackboneElement
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      781. Bundle.entry:practitioner
                                                                                                                      Slice Namepractitioner
                                                                                                                      Definition

                                                                                                                      An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                      ShortEntry in the bundle - will have a resource or information
                                                                                                                      Control0..*
                                                                                                                      TypeBackboneElement
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                      bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      783. Bundle.entry:practitioner.id
                                                                                                                      Definition

                                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                      ShortUnique id for inter-element referencing
                                                                                                                      Control0..1
                                                                                                                      Typestring
                                                                                                                      Is Modifierfalse
                                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                      Summaryfalse
                                                                                                                      785. Bundle.entry:practitioner.extension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                      ShortAdditional content defined by implementations
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifierfalse
                                                                                                                      Summaryfalse
                                                                                                                      Alternate Namesextensions, user content
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      787. Bundle.entry:practitioner.modifierExtension
                                                                                                                      Definition

                                                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                      Comments

                                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                      Control0..*
                                                                                                                      TypeExtension
                                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                      789. Bundle.entry:practitioner.link
                                                                                                                      Definition

                                                                                                                      A series of links that provide context to this entry.

                                                                                                                      ShortLinks related to this entry
                                                                                                                      Control0..*
                                                                                                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      791. Bundle.entry:practitioner.fullUrl
                                                                                                                      Definition

                                                                                                                      The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                      • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                      • Results from operations might involve resources that are not identified.
                                                                                                                      ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                      Comments

                                                                                                                      fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                      Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                      Control1..1
                                                                                                                      Typeuri
                                                                                                                      Is Modifierfalse
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      793. Bundle.entry:practitioner.resource
                                                                                                                      Definition

                                                                                                                      A person who is directly or indirectly involved in the provisioning of healthcare.

                                                                                                                      ShortA person with a formal responsibility in the provisioning of healthcare or related services
                                                                                                                      Control1..1
                                                                                                                      TypePractitioner(Practitioner: HDR)
                                                                                                                      Is Modifierfalse
                                                                                                                      Obligations
                                                                                                                        ObligationsActor
                                                                                                                        SHALL:handleHDR Handler
                                                                                                                        Summaryfalse
                                                                                                                        795. Bundle.entry:practitioner.search
                                                                                                                        Definition

                                                                                                                        Information about the search process that lead to the creation of this entry.

                                                                                                                        ShortSearch related information
                                                                                                                        Control0..0
                                                                                                                        This element is affected by the following invariants: bdl-2
                                                                                                                        TypeBackboneElement
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        802. Bundle.entry:practitioner.request
                                                                                                                        Definition

                                                                                                                        Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                        ShortAdditional execution information (transaction/batch/history)
                                                                                                                        Control0..0
                                                                                                                        This element is affected by the following invariants: bdl-3
                                                                                                                        TypeBackboneElement
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        813. Bundle.entry:practitioner.response
                                                                                                                        Definition

                                                                                                                        Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                        ShortResults of execution (transaction/batch/history)
                                                                                                                        Control0..0
                                                                                                                        This element is affected by the following invariants: bdl-4
                                                                                                                        TypeBackboneElement
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        823. Bundle.entry:practitionerRole
                                                                                                                        Slice NamepractitionerRole
                                                                                                                        Definition

                                                                                                                        An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                        ShortEntry in the bundle - will have a resource or information
                                                                                                                        Control0..*
                                                                                                                        TypeBackboneElement
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                        bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        825. Bundle.entry:practitionerRole.id
                                                                                                                        Definition

                                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                        ShortUnique id for inter-element referencing
                                                                                                                        Control0..1
                                                                                                                        Typestring
                                                                                                                        Is Modifierfalse
                                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                        Summaryfalse
                                                                                                                        827. Bundle.entry:practitionerRole.extension
                                                                                                                        Definition

                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                        ShortAdditional content defined by implementations
                                                                                                                        Comments

                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                        Control0..*
                                                                                                                        TypeExtension
                                                                                                                        Is Modifierfalse
                                                                                                                        Summaryfalse
                                                                                                                        Alternate Namesextensions, user content
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        829. Bundle.entry:practitionerRole.modifierExtension
                                                                                                                        Definition

                                                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                        Comments

                                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                        Control0..*
                                                                                                                        TypeExtension
                                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                        Summarytrue
                                                                                                                        Requirements

                                                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                        831. Bundle.entry:practitionerRole.link
                                                                                                                        Definition

                                                                                                                        A series of links that provide context to this entry.

                                                                                                                        ShortLinks related to this entry
                                                                                                                        Control0..*
                                                                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        833. Bundle.entry:practitionerRole.fullUrl
                                                                                                                        Definition

                                                                                                                        The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                        • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                        • Results from operations might involve resources that are not identified.
                                                                                                                        ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                        Comments

                                                                                                                        fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                        Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                        Control1..1
                                                                                                                        Typeuri
                                                                                                                        Is Modifierfalse
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        835. Bundle.entry:practitionerRole.resource
                                                                                                                        Definition

                                                                                                                        A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

                                                                                                                        ShortRoles/organizations the practitioner is associated with
                                                                                                                        Control1..1
                                                                                                                        TypePractitionerRole(PractitionerRole:: HDR)
                                                                                                                        Is Modifierfalse
                                                                                                                        Obligations
                                                                                                                          ObligationsActor
                                                                                                                          SHALL:handleHDR Handler
                                                                                                                          Summaryfalse
                                                                                                                          837. Bundle.entry:practitionerRole.search
                                                                                                                          Definition

                                                                                                                          Information about the search process that lead to the creation of this entry.

                                                                                                                          ShortSearch related information
                                                                                                                          Control0..0
                                                                                                                          This element is affected by the following invariants: bdl-2
                                                                                                                          TypeBackboneElement
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          844. Bundle.entry:practitionerRole.request
                                                                                                                          Definition

                                                                                                                          Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                          ShortAdditional execution information (transaction/batch/history)
                                                                                                                          Control0..0
                                                                                                                          This element is affected by the following invariants: bdl-3
                                                                                                                          TypeBackboneElement
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          855. Bundle.entry:practitionerRole.response
                                                                                                                          Definition

                                                                                                                          Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                          ShortResults of execution (transaction/batch/history)
                                                                                                                          Control0..0
                                                                                                                          This element is affected by the following invariants: bdl-4
                                                                                                                          TypeBackboneElement
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          865. Bundle.entry:procedure
                                                                                                                          Slice Nameprocedure
                                                                                                                          Definition

                                                                                                                          An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                          ShortEntry in the bundle - will have a resource or information
                                                                                                                          Control0..*
                                                                                                                          TypeBackboneElement
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                          bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          867. Bundle.entry:procedure.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          869. Bundle.entry:procedure.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          871. Bundle.entry:procedure.modifierExtension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                          Summarytrue
                                                                                                                          Requirements

                                                                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                          Alternate Namesextensions, user content, modifiers
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          873. Bundle.entry:procedure.link
                                                                                                                          Definition

                                                                                                                          A series of links that provide context to this entry.

                                                                                                                          ShortLinks related to this entry
                                                                                                                          Control0..*
                                                                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                          Is Modifierfalse
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          875. Bundle.entry:procedure.fullUrl
                                                                                                                          Definition

                                                                                                                          The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                          • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                          • Results from operations might involve resources that are not identified.
                                                                                                                          ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                          Comments

                                                                                                                          fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                          Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                          Control1..1
                                                                                                                          Typeuri
                                                                                                                          Is Modifierfalse
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          877. Bundle.entry:procedure.resource
                                                                                                                          Definition

                                                                                                                          An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.

                                                                                                                          ShortAn action that is being or was performed on a patient
                                                                                                                          Control1..1
                                                                                                                          TypeProcedure(Procedure: HDR)
                                                                                                                          Is Modifierfalse
                                                                                                                          Obligations
                                                                                                                            ObligationsActor
                                                                                                                            SHALL:handleHDR Handler
                                                                                                                            Summaryfalse
                                                                                                                            879. Bundle.entry:procedure.search
                                                                                                                            Definition

                                                                                                                            Information about the search process that lead to the creation of this entry.

                                                                                                                            ShortSearch related information
                                                                                                                            Control0..0
                                                                                                                            This element is affected by the following invariants: bdl-2
                                                                                                                            TypeBackboneElement
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            886. Bundle.entry:procedure.request
                                                                                                                            Definition

                                                                                                                            Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                            ShortAdditional execution information (transaction/batch/history)
                                                                                                                            Control0..0
                                                                                                                            This element is affected by the following invariants: bdl-3
                                                                                                                            TypeBackboneElement
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            897. Bundle.entry:procedure.response
                                                                                                                            Definition

                                                                                                                            Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                            ShortResults of execution (transaction/batch/history)
                                                                                                                            Control0..0
                                                                                                                            This element is affected by the following invariants: bdl-4
                                                                                                                            TypeBackboneElement
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            907. Bundle.entry:organization
                                                                                                                            Slice Nameorganization
                                                                                                                            Definition

                                                                                                                            An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                            ShortEntry in the bundle - will have a resource or information
                                                                                                                            Control0..*
                                                                                                                            TypeBackboneElement
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                            bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            909. Bundle.entry:organization.id
                                                                                                                            Definition

                                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                            ShortUnique id for inter-element referencing
                                                                                                                            Control0..1
                                                                                                                            Typestring
                                                                                                                            Is Modifierfalse
                                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                            Summaryfalse
                                                                                                                            911. Bundle.entry:organization.extension
                                                                                                                            Definition

                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                            ShortAdditional content defined by implementations
                                                                                                                            Comments

                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                            Control0..*
                                                                                                                            TypeExtension
                                                                                                                            Is Modifierfalse
                                                                                                                            Summaryfalse
                                                                                                                            Alternate Namesextensions, user content
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            913. Bundle.entry:organization.modifierExtension
                                                                                                                            Definition

                                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                            Comments

                                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                            Control0..*
                                                                                                                            TypeExtension
                                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                            Summarytrue
                                                                                                                            Requirements

                                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                            915. Bundle.entry:organization.link
                                                                                                                            Definition

                                                                                                                            A series of links that provide context to this entry.

                                                                                                                            ShortLinks related to this entry
                                                                                                                            Control0..*
                                                                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                            Is Modifierfalse
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            917. Bundle.entry:organization.fullUrl
                                                                                                                            Definition

                                                                                                                            The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                            • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                            • Results from operations might involve resources that are not identified.
                                                                                                                            ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                            Comments

                                                                                                                            fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                            Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                            Control1..1
                                                                                                                            Typeuri
                                                                                                                            Is Modifierfalse
                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                            Summarytrue
                                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                            919. Bundle.entry:organization.resource
                                                                                                                            Definition

                                                                                                                            A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.

                                                                                                                            ShortA grouping of people or organizations with a common purpose
                                                                                                                            Control1..1
                                                                                                                            TypeOrganization(Organization: HDR)
                                                                                                                            Is Modifierfalse
                                                                                                                            Obligations
                                                                                                                              ObligationsActor
                                                                                                                              SHALL:handleHDR Handler
                                                                                                                              Summaryfalse
                                                                                                                              921. Bundle.entry:organization.search
                                                                                                                              Definition

                                                                                                                              Information about the search process that lead to the creation of this entry.

                                                                                                                              ShortSearch related information
                                                                                                                              Control0..0
                                                                                                                              This element is affected by the following invariants: bdl-2
                                                                                                                              TypeBackboneElement
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              928. Bundle.entry:organization.request
                                                                                                                              Definition

                                                                                                                              Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                              ShortAdditional execution information (transaction/batch/history)
                                                                                                                              Control0..0
                                                                                                                              This element is affected by the following invariants: bdl-3
                                                                                                                              TypeBackboneElement
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              939. Bundle.entry:organization.response
                                                                                                                              Definition

                                                                                                                              Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                              ShortResults of execution (transaction/batch/history)
                                                                                                                              Control0..0
                                                                                                                              This element is affected by the following invariants: bdl-4
                                                                                                                              TypeBackboneElement
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              949. Bundle.entry:observation
                                                                                                                              Slice Nameobservation
                                                                                                                              Definition

                                                                                                                              An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                              ShortEntry in the bundle - will have a resource or information
                                                                                                                              Control0..*
                                                                                                                              TypeBackboneElement
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                              bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              951. Bundle.entry:observation.id
                                                                                                                              Definition

                                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                              ShortUnique id for inter-element referencing
                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                              Summaryfalse
                                                                                                                              953. Bundle.entry:observation.extension
                                                                                                                              Definition

                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                              ShortAdditional content defined by implementations
                                                                                                                              Comments

                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifierfalse
                                                                                                                              Summaryfalse
                                                                                                                              Alternate Namesextensions, user content
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              955. Bundle.entry:observation.modifierExtension
                                                                                                                              Definition

                                                                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                              Comments

                                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                              Control0..*
                                                                                                                              TypeExtension
                                                                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                              Alternate Namesextensions, user content, modifiers
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                              957. Bundle.entry:observation.link
                                                                                                                              Definition

                                                                                                                              A series of links that provide context to this entry.

                                                                                                                              ShortLinks related to this entry
                                                                                                                              Control0..*
                                                                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                              Is Modifierfalse
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              959. Bundle.entry:observation.fullUrl
                                                                                                                              Definition

                                                                                                                              The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                              • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                              • Results from operations might involve resources that are not identified.
                                                                                                                              ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                              Comments

                                                                                                                              fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                              Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                              Control1..1
                                                                                                                              Typeuri
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Summarytrue
                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              961. Bundle.entry:observation.resource
                                                                                                                              Definition

                                                                                                                              The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                                                                                                              ShortA resource in the bundle
                                                                                                                              Control1..1
                                                                                                                              TypeObservation
                                                                                                                              Is Modifierfalse
                                                                                                                              Obligations
                                                                                                                                ObligationsActor
                                                                                                                                SHALL:handleHDR Handler
                                                                                                                                Summarytrue
                                                                                                                                963. Bundle.entry:observation.search
                                                                                                                                Definition

                                                                                                                                Information about the search process that lead to the creation of this entry.

                                                                                                                                ShortSearch related information
                                                                                                                                Control0..0
                                                                                                                                This element is affected by the following invariants: bdl-2
                                                                                                                                TypeBackboneElement
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                970. Bundle.entry:observation.request
                                                                                                                                Definition

                                                                                                                                Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                                ShortAdditional execution information (transaction/batch/history)
                                                                                                                                Control0..0
                                                                                                                                This element is affected by the following invariants: bdl-3
                                                                                                                                TypeBackboneElement
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                981. Bundle.entry:observation.response
                                                                                                                                Definition

                                                                                                                                Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                                ShortResults of execution (transaction/batch/history)
                                                                                                                                Control0..0
                                                                                                                                This element is affected by the following invariants: bdl-4
                                                                                                                                TypeBackboneElement
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                991. Bundle.entry:specimen
                                                                                                                                Slice Namespecimen
                                                                                                                                Definition

                                                                                                                                An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                                ShortEntry in the bundle - will have a resource or information
                                                                                                                                Control0..*
                                                                                                                                TypeBackboneElement
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                                bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                                ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                993. Bundle.entry:specimen.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                995. Bundle.entry:specimen.extension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                997. Bundle.entry:specimen.modifierExtension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                Comments

                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                Summarytrue
                                                                                                                                Requirements

                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                999. Bundle.entry:specimen.link
                                                                                                                                Definition

                                                                                                                                A series of links that provide context to this entry.

                                                                                                                                ShortLinks related to this entry
                                                                                                                                Control0..*
                                                                                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                1001. Bundle.entry:specimen.fullUrl
                                                                                                                                Definition

                                                                                                                                The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                                • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                                • Results from operations might involve resources that are not identified.
                                                                                                                                ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                                Comments

                                                                                                                                fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                                Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                                Control1..1
                                                                                                                                Typeuri
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                1003. Bundle.entry:specimen.resource
                                                                                                                                Definition

                                                                                                                                A sample to be used for analysis.

                                                                                                                                ShortSample for analysis
                                                                                                                                Control1..1
                                                                                                                                TypeSpecimen(Specimen (IPS))
                                                                                                                                Is Modifierfalse
                                                                                                                                Obligations
                                                                                                                                  ObligationsActor
                                                                                                                                  SHALL:handleHDR Handler
                                                                                                                                  Summaryfalse
                                                                                                                                  1005. Bundle.entry:specimen.search
                                                                                                                                  Definition

                                                                                                                                  Information about the search process that lead to the creation of this entry.

                                                                                                                                  ShortSearch related information
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-2
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1012. Bundle.entry:specimen.request
                                                                                                                                  Definition

                                                                                                                                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                                  ShortAdditional execution information (transaction/batch/history)
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-3
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1023. Bundle.entry:specimen.response
                                                                                                                                  Definition

                                                                                                                                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                                  ShortResults of execution (transaction/batch/history)
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-4
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1033. Bundle.entry:familyMemberHistory
                                                                                                                                  Slice NamefamilyMemberHistory
                                                                                                                                  Definition

                                                                                                                                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                                  ShortEntry in the bundle - will have a resource or information
                                                                                                                                  Control0..*
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1035. Bundle.entry:familyMemberHistory.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  1037. Bundle.entry:familyMemberHistory.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  1039. Bundle.entry:familyMemberHistory.modifierExtension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  1041. Bundle.entry:familyMemberHistory.link
                                                                                                                                  Definition

                                                                                                                                  A series of links that provide context to this entry.

                                                                                                                                  ShortLinks related to this entry
                                                                                                                                  Control0..*
                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1043. Bundle.entry:familyMemberHistory.fullUrl
                                                                                                                                  Definition

                                                                                                                                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                                  • Results from operations might involve resources that are not identified.
                                                                                                                                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                                  Comments

                                                                                                                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                                  Control1..1
                                                                                                                                  Typeuri
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1045. Bundle.entry:familyMemberHistory.resource
                                                                                                                                  Definition

                                                                                                                                  Significant health conditions for a person related to the patient relevant in the context of care for the patient.

                                                                                                                                  ShortInformation about patient's relatives, relevant for patient
                                                                                                                                  Control1..1
                                                                                                                                  TypeFamilyMemberHistory(FamilyMemberHistory (HDR))
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  1047. Bundle.entry:familyMemberHistory.search
                                                                                                                                  Definition

                                                                                                                                  Information about the search process that lead to the creation of this entry.

                                                                                                                                  ShortSearch related information
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-2
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1054. Bundle.entry:familyMemberHistory.request
                                                                                                                                  Definition

                                                                                                                                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                                  ShortAdditional execution information (transaction/batch/history)
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-3
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1065. Bundle.entry:familyMemberHistory.response
                                                                                                                                  Definition

                                                                                                                                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                                  ShortResults of execution (transaction/batch/history)
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-4
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1075. Bundle.entry:documentReference
                                                                                                                                  Slice NamedocumentReference
                                                                                                                                  Definition

                                                                                                                                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                                  ShortEntry in the bundle - will have a resource or information
                                                                                                                                  Control0..*
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1077. Bundle.entry:documentReference.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  1079. Bundle.entry:documentReference.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  1081. Bundle.entry:documentReference.modifierExtension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  1083. Bundle.entry:documentReference.link
                                                                                                                                  Definition

                                                                                                                                  A series of links that provide context to this entry.

                                                                                                                                  ShortLinks related to this entry
                                                                                                                                  Control0..*
                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1085. Bundle.entry:documentReference.fullUrl
                                                                                                                                  Definition

                                                                                                                                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                                  • Results from operations might involve resources that are not identified.
                                                                                                                                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                                  Comments

                                                                                                                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                                  Control1..1
                                                                                                                                  Typeuri
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1087. Bundle.entry:documentReference.resource
                                                                                                                                  Definition

                                                                                                                                  The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

                                                                                                                                  ShortA resource in the bundle
                                                                                                                                  Control1..1
                                                                                                                                  TypeDocumentReference
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  1089. Bundle.entry:documentReference.search
                                                                                                                                  Definition

                                                                                                                                  Information about the search process that lead to the creation of this entry.

                                                                                                                                  ShortSearch related information
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-2
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1096. Bundle.entry:documentReference.request
                                                                                                                                  Definition

                                                                                                                                  Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                                  ShortAdditional execution information (transaction/batch/history)
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-3
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1107. Bundle.entry:documentReference.response
                                                                                                                                  Definition

                                                                                                                                  Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                                  ShortResults of execution (transaction/batch/history)
                                                                                                                                  Control0..0
                                                                                                                                  This element is affected by the following invariants: bdl-4
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1117. Bundle.entry:flag
                                                                                                                                  Slice Nameflag
                                                                                                                                  Definition

                                                                                                                                  An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                                  ShortEntry in the bundle - will have a resource or information
                                                                                                                                  Control0..*
                                                                                                                                  TypeBackboneElement
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                                  bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1119. Bundle.entry:flag.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  1121. Bundle.entry:flag.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  1123. Bundle.entry:flag.modifierExtension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                  Summarytrue
                                                                                                                                  Requirements

                                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  1125. Bundle.entry:flag.link
                                                                                                                                  Definition

                                                                                                                                  A series of links that provide context to this entry.

                                                                                                                                  ShortLinks related to this entry
                                                                                                                                  Control0..*
                                                                                                                                  TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1127. Bundle.entry:flag.fullUrl
                                                                                                                                  Definition

                                                                                                                                  The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                                  • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                                  • Results from operations might involve resources that are not identified.
                                                                                                                                  ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                                  Comments

                                                                                                                                  fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                                  Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                                  Control1..1
                                                                                                                                  Typeuri
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                  Summarytrue
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  1129. Bundle.entry:flag.resource
                                                                                                                                  Definition

                                                                                                                                  Prospective warnings of potential issues when providing care to the patient.

                                                                                                                                  ShortKey information to flag to healthcare providers
                                                                                                                                  Control1..1
                                                                                                                                  TypeFlag(Flag: HDR)
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Obligations
                                                                                                                                    ObligationsActor
                                                                                                                                    SHALL:handleHDR Handler
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate NamesBarriers to Care, Alert, Warning
                                                                                                                                    1131. Bundle.entry:flag.search
                                                                                                                                    Definition

                                                                                                                                    Information about the search process that lead to the creation of this entry.

                                                                                                                                    ShortSearch related information
                                                                                                                                    Control0..0
                                                                                                                                    This element is affected by the following invariants: bdl-2
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1138. Bundle.entry:flag.request
                                                                                                                                    Definition

                                                                                                                                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                                    ShortAdditional execution information (transaction/batch/history)
                                                                                                                                    Control0..0
                                                                                                                                    This element is affected by the following invariants: bdl-3
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1149. Bundle.entry:flag.response
                                                                                                                                    Definition

                                                                                                                                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                                    ShortResults of execution (transaction/batch/history)
                                                                                                                                    Control0..0
                                                                                                                                    This element is affected by the following invariants: bdl-4
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1159. Bundle.entry:location
                                                                                                                                    Slice Namelocation
                                                                                                                                    Definition

                                                                                                                                    An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).

                                                                                                                                    ShortEntry in the bundle - will have a resource or information
                                                                                                                                    Control0..*
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
                                                                                                                                    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
                                                                                                                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1161. Bundle.entry:location.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    1163. Bundle.entry:location.extension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    1165. Bundle.entry:location.modifierExtension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                    Comments

                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    1167. Bundle.entry:location.link
                                                                                                                                    Definition

                                                                                                                                    A series of links that provide context to this entry.

                                                                                                                                    ShortLinks related to this entry
                                                                                                                                    Control0..*
                                                                                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1169. Bundle.entry:location.fullUrl
                                                                                                                                    Definition

                                                                                                                                    The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

                                                                                                                                    • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
                                                                                                                                    • Results from operations might involve resources that are not identified.
                                                                                                                                    ShortURI for resource (Absolute URL server address or URI for UUID/OID)
                                                                                                                                    Comments

                                                                                                                                    fullUrl might not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then the 'id' portion of the fullUrl SHALL end with the Resource.id.

                                                                                                                                    Note that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).

                                                                                                                                    Control1..1
                                                                                                                                    Typeuri
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1171. Bundle.entry:location.resource
                                                                                                                                    Definition

                                                                                                                                    Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.

                                                                                                                                    ShortDetails and position information for a physical place
                                                                                                                                    Control1..1
                                                                                                                                    TypeLocation(Location (EU base))
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    1173. Bundle.entry:location.search
                                                                                                                                    Definition

                                                                                                                                    Information about the search process that lead to the creation of this entry.

                                                                                                                                    ShortSearch related information
                                                                                                                                    Control0..0
                                                                                                                                    This element is affected by the following invariants: bdl-2
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1180. Bundle.entry:location.request
                                                                                                                                    Definition

                                                                                                                                    Additional information about how this entry should be processed as part of a transaction or batch. For history, it shows how the entry was processed to create the version contained in the entry.

                                                                                                                                    ShortAdditional execution information (transaction/batch/history)
                                                                                                                                    Control0..0
                                                                                                                                    This element is affected by the following invariants: bdl-3
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1191. Bundle.entry:location.response
                                                                                                                                    Definition

                                                                                                                                    Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.

                                                                                                                                    ShortResults of execution (transaction/batch/history)
                                                                                                                                    Control0..0
                                                                                                                                    This element is affected by the following invariants: bdl-4
                                                                                                                                    TypeBackboneElement
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1201. Bundle.signature
                                                                                                                                    Definition

                                                                                                                                    Digital Signature - base64 encoded. XML-DSig or a JWT.

                                                                                                                                    ShortReport Digital Signature
                                                                                                                                    Comments

                                                                                                                                    The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.

                                                                                                                                    Control0..1
                                                                                                                                    TypeSignature
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summarytrue
                                                                                                                                    Requirements

                                                                                                                                    A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    1203. Bundle.signature.id
                                                                                                                                    Definition

                                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                                    Control0..1
                                                                                                                                    Typestring
                                                                                                                                    Is Modifierfalse
                                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                    Summaryfalse
                                                                                                                                    1205. Bundle.signature.extension
                                                                                                                                    Definition

                                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                                    Comments

                                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                    Control0..*
                                                                                                                                    TypeExtension
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Summaryfalse
                                                                                                                                    Alternate Namesextensions, user content
                                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                    SlicingThis element introduces a set of slices on Bundle.signature.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                    • value @ url
                                                                                                                                    • 1207. Bundle.signature.type
                                                                                                                                      Definition

                                                                                                                                      An indication of the reason that the entity signed this document. This may be explicitly included as part of the signature information and can be used when determining accountability for various actions concerning the document.

                                                                                                                                      ShortDigital Signature Purposes
                                                                                                                                      Comments

                                                                                                                                      Examples include attesting to: authorship, correct transcription, and witness of specific event. Also known as a "Commitment Type Indication".

                                                                                                                                      Control1..*
                                                                                                                                      BindingThe codes SHOULD be taken from SignatureTypeCodes
                                                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/signature-type)

                                                                                                                                      An indication of the reason that an entity signed the object.

                                                                                                                                      TypeCoding
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      1209. Bundle.signature.when
                                                                                                                                      Definition

                                                                                                                                      When the digital signature was signed.

                                                                                                                                      ShortWhen was signed
                                                                                                                                      Comments

                                                                                                                                      This should agree with the information in the signature.

                                                                                                                                      Control1..1
                                                                                                                                      Typeinstant
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      1211. Bundle.signature.who
                                                                                                                                      Definition

                                                                                                                                      A reference to an application-usable description of the identity that signed (e.g. the signature used their private key).

                                                                                                                                      ShortWho signed.
                                                                                                                                      Comments

                                                                                                                                      This should agree with the information in the signature.

                                                                                                                                      Control1..1
                                                                                                                                      TypeReference(Practitioner, PractitionerRole, RelatedPerson, Patient, Device, Organization)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      1213. Bundle.signature.onBehalfOf
                                                                                                                                      Definition

                                                                                                                                      A reference to an application-usable description of the identity that is represented by the signature.

                                                                                                                                      ShortThe party represented
                                                                                                                                      Comments

                                                                                                                                      The party that can't sign. For example a child.

                                                                                                                                      Control0..1
                                                                                                                                      TypeReference(Practitioner, PractitionerRole, RelatedPerson, Patient, Device, Organization)
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      used when the signature is on behalf of a non-signer.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      1215. Bundle.signature.targetFormat
                                                                                                                                      Definition

                                                                                                                                      A mime type that indicates the technical format of the target resources signed by the signature.

                                                                                                                                      ShortThe technical format of the signed resources
                                                                                                                                      Comments

                                                                                                                                      "xml", "json" and "ttl" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.

                                                                                                                                      Control0..1
                                                                                                                                      BindingThe codes SHALL be taken from Mime Types
                                                                                                                                      (required to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1)

                                                                                                                                      The mime type of an attachment. Any valid mime type is allowed.

                                                                                                                                      Typecode
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      1217. Bundle.signature.sigFormat
                                                                                                                                      Definition

                                                                                                                                      A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jose for JWS, and image/* for a graphical image of a signature, etc.

                                                                                                                                      ShortThe technical format of the signature
                                                                                                                                      Control0..1
                                                                                                                                      BindingThe codes SHALL be taken from Mime Types
                                                                                                                                      (required to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1)

                                                                                                                                      The mime type of an attachment. Any valid mime type is allowed.

                                                                                                                                      Typecode
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      1219. Bundle.signature.data
                                                                                                                                      Definition

                                                                                                                                      The base64 encoding of the Signature content. When signature is not recorded electronically this element would be empty.

                                                                                                                                      ShortSignature content
                                                                                                                                      Comments

                                                                                                                                      Where the signature type is an XML DigSig, the signed content is a FHIR Resource(s), the signature is of the XML form of the Resource(s) using XML-Signature (XMLDIG) "Detached Signature" form.

                                                                                                                                      Control0..1
                                                                                                                                      Typebase64Binary
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Summaryfalse
                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))