IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: IE MPD Electronic Prescription Group (ePG, cross-border)

An ePrescription issued in Ireland to be dispensed in another EU Member State, or issued in another Member State to be dispensed in Ireland. A sender (NePS or the National Contact Point for eHealth) marks a cross-border prescription by claiming this profile in Bundle.meta.profile. No invented tag is used (IE Core ADR-003). It adds the legal requirements HIQA cites for cross-border prescriptions: patient date of birth (EP 1.4.1), prescriber telephone and secure email (EP 2.10.1, 2.10.2), and an electronic signature (EP 2.13).

Usages:

• Examples for this Profile: Bundle/hiqa-bundle-s6-crossborder

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	IEMpdElectronicPrescriptionGroup(0.1.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ie-bnd-rx-1, ie-bnd-rx-2, ie-bnd-rx-3, ie-bnd-rx-4, ie-bnd-rx-5, ie-bnd-rx-6, ie-bnd-rx-7, ie-bnd-rx-8, ie-bnd-rx-9, ie-bnd-rx-10, ie-bnd-rx-11, ie-bnd-rx-12, ie-bnd-rx-13, ie-bnd-rx-14, ie-bnd-xb-1, ie-bnd-xb-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	SΣ	1..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
timestamp	SΣ	1..1	instant	When the bundle was assembled
Slices for entry	SΣC	5..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:patient	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPatientEPrescription(0.1.0)	Information about an individual or animal receiving health care services
entry:header	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPrescriptionGroupHeader(0.1.0)	A group of related requests
entry:electronicPrescription	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationRequestEPrescription(0.1.0)	Ordering of medication for patient or group
entry:allergyStatement	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdListAllergiesAtPrescribing(0.1.0)	A list is a curated collection of resources
entry:allergy	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdAllergyIntolerance(0.1.0)	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:practitioner	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitioner(0.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitionerRole(0.1.0)	Roles/organizations the practitioner is associated with
entry:organization	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdOrganization(0.1.0)	A grouping of people or organizations with a common purpose
entry:medication	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationEPrescription(0.1.0)	Definition of a Medication
entry:dispensation	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationDispenseEDispensation(0.1.0)	Dispensing a medication to a named patient
entry:provenance	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdProvenance(0.1.0)	Who, What, When for a set of resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1	error	Bundle.implicitRules, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry.fullUrl, Bundle.entry:patient, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.fullUrl, Bundle.entry:header, Bundle.entry:header.modifierExtension, Bundle.entry:header.fullUrl, Bundle.entry:electronicPrescription, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:electronicPrescription.fullUrl, Bundle.entry:allergyStatement, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergyStatement.fullUrl, Bundle.entry:allergy, Bundle.entry:allergy.modifierExtension, Bundle.entry:allergy.fullUrl, Bundle.entry:practitioner, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitioner.fullUrl, Bundle.entry:practitionerRole, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:practitionerRole.fullUrl, Bundle.entry:organization, Bundle.entry:organization.modifierExtension, Bundle.entry:organization.fullUrl, Bundle.entry:medication, Bundle.entry:medication.modifierExtension, Bundle.entry:medication.fullUrl, Bundle.entry:dispensation, Bundle.entry:dispensation.modifierExtension, Bundle.entry:dispensation.fullUrl, Bundle.entry:provenance, Bundle.entry:provenance.modifierExtension, Bundle.entry:provenance.fullUrl	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.entry.modifierExtension, Bundle.entry:patient.modifierExtension, Bundle.entry:header.modifierExtension, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergy.modifierExtension, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:organization.modifierExtension, Bundle.entry:medication.modifierExtension, Bundle.entry:dispensation.modifierExtension, Bundle.entry:provenance.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-bnd-rx-1	error	Bundle	All electronic prescriptions (eP) in the ePG SHALL share one prescription group identifier (system and value) (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).count() <= 1 or (entry.resource.ofType(MedicationRequest).all(groupIdentifier.exists()) and entry.resource.ofType(MedicationRequest).select(groupIdentifier.system + '|' + groupIdentifier.value).distinct().count() = 1)
ie-bnd-rx-2	error	Bundle	Every eP SHALL reference the allergy statement (a List coded LOINC 48765-2) in supportingInformation (HIQA EP 1.6.1 / 1.6.2)	entry.resource.ofType(MedicationRequest).all(supportingInformation.where(resolve() is List and resolve().code.coding.where(system = 'http://loinc.org' and code = '48765-2').exists()).exists())
ie-bnd-rx-3	error	Bundle	If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, every eP SHALL record the patient's age (HIQA EP 1.4.2; a legal requirement)	entry.resource.ofType(MedicationRequest).all(extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing').exists() or ((%resource.entry.resource.ofType(Patient).first().birthDate.toString().length() = 10) and ((%resource.entry.resource.ofType(Patient).first().birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))))
ie-bnd-rx-4	error	Bundle	The prescriber (the requester, its practitioner, or its organisation) SHALL have a telephone number (HIQA EP 2.10 / 2.10.1, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'phone').exists())
ie-bnd-rx-5	error	Bundle	Every eP, the allergy statement and every allergy SHALL be about the one Patient in the Bundle (patient safety: the allergy statement must be the patient's own)	(entry.resource.ofType(MedicationRequest).subject.reference | entry.resource.ofType(List).subject.reference | entry.resource.ofType(AllergyIntolerance).patient.reference).all(($this = %resource.entry.where(resource is Patient).fullUrl) or ($this = ('Patient/' + %resource.entry.resource.ofType(Patient).id)))
ie-bnd-rx-6	error	Bundle	Every allergy listed in the allergy statement SHALL be included in the Bundle (HIQA EP 1.6.2)	entry.resource.ofType(List).entry.item.reference.all(($this in %resource.entry.fullUrl) or ($this.replace('AllergyIntolerance/', '') in %resource.entry.resource.ofType(AllergyIntolerance).id))
ie-bnd-rx-7	error	Bundle	The prescription group header SHALL list every eP in the ePG as an action, and only those (HIQA EP 3.5)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(RequestGroup).action.resource.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(RequestGroup).action.resource.reference)) and entry.resource.ofType(RequestGroup).action.resource.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id))
ie-bnd-rx-8	error	Bundle	Every eP SHALL carry one of the prescription group identifiers as its groupIdentifier (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).all((groupIdentifier.system + '|' + groupIdentifier.value) in %resource.entry.resource.ofType(RequestGroup).identifier.select(system + '|' + value))
ie-bnd-rx-9	error	Bundle	Every eP SHALL have the prescription group's patient, prescriber and date of issue (HIQA EP 3.2; compare NHS EPS prescription-order)	entry.resource.ofType(MedicationRequest).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference and requester.reference = %resource.entry.resource.ofType(RequestGroup).first().author.reference and authoredOn = %resource.entry.resource.ofType(RequestGroup).first().authoredOn)
ie-bnd-rx-10	warning	Bundle	The prescription group status SHOULD agree with the eP statuses: an active group has an active eP; a revoked (cancelled) group has only cancelled or stopped eP; a completed group has no active, on-hold or draft eP (HIQA EP 3.3)	entry.resource.ofType(RequestGroup).all((status = 'active' implies %resource.entry.resource.ofType(MedicationRequest).where(status = 'active').exists()) and (status = 'revoked' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'cancelled' or status = 'stopped')) and (status = 'completed' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'completed' or status = 'stopped' or status = 'cancelled')))
ie-bnd-rx-11	error	Bundle	The prescriber's healthcare facility (the organisation of the prescriber's role) SHALL have an address with address line, county, postcode and country (HIQA EP 2.9, 2.9.1, 2.9.2, 2.9.4, 2.9.5, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().ofType(PractitionerRole).organization.resolve().address.where(line.exists() and state.exists() and postalCode.exists() and country.exists()).exists())
ie-bnd-rx-12	error	Bundle	Every eDispensation in the ePG SHALL be authorised by an eP in the same ePG (HIQA EP 6.5)	entry.resource.ofType(MedicationDispense).all(authorizingPrescription.exists() and authorizingPrescription.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id)))
ie-bnd-rx-13	error	Bundle	Every eDispensation in the ePG SHALL be for the ePG's patient (patient safety)	entry.resource.ofType(MedicationDispense).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference)
ie-bnd-rx-14	warning	Bundle	Every Provenance in the ePG SHOULD target resources in the same ePG	entry.resource.ofType(Provenance).target.reference.all(($this in %resource.entry.fullUrl) or ($this in %resource.entry.resource.select(resourceType + '/' + id)))
ie-bnd-xb-1	error	Bundle	A cross-border prescription SHALL give a secure contact email for the prescriber (the requester, its practitioner, or its organisation) (HIQA EP 2.10.2; a legal requirement cross-border)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'email').exists())
ie-bnd-xb-2	error	Bundle	A cross-border prescription SHALL carry a prescriber signature covering every eP, referenced by fullUrl or by relative reference (HIQA EP 2.13; a legal requirement)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference))

This structure is derived from IEMpdElectronicPrescriptionGroup

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	IEMpdElectronicPrescriptionGroup(0.1.0)	Contains a collection of resources
entry		5..*	BackboneElement	Entry in the bundle - will have a resource or information
Slices for entry				Content/Rules for all slices
entry:provenance		1..*	BackboneElement	Entry in the bundle - will have a resource or information
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ie-bnd-xb-1	error	Bundle	A cross-border prescription SHALL give a secure contact email for the prescriber (the requester, its practitioner, or its organisation) (HIQA EP 2.10.2; a legal requirement cross-border)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'email').exists())
ie-bnd-xb-2	error	Bundle	A cross-border prescription SHALL carry a prescriber signature covering every eP, referenced by fullUrl or by relative reference (HIQA EP 2.13; a legal requirement)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	IEMpdElectronicPrescriptionGroup(0.1.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ie-bnd-rx-1, ie-bnd-rx-2, ie-bnd-rx-3, ie-bnd-rx-4, ie-bnd-rx-5, ie-bnd-rx-6, ie-bnd-rx-7, ie-bnd-rx-8, ie-bnd-rx-9, ie-bnd-rx-10, ie-bnd-rx-11, ie-bnd-rx-12, ie-bnd-rx-13, ie-bnd-rx-14, ie-bnd-xb-1, ie-bnd-xb-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	SΣ	1..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
timestamp	SΣ	1..1	instant	When the bundle was assembled
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	Σ	0..*	BackboneElement	Links related to this Bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relation	Σ	1..1	string	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url	Σ	1..1	uri	Reference details for the link
Slices for entry	SΣC	5..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:patient	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPatientEPrescription(0.1.0)	Information about an individual or animal receiving health care services
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:header	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPrescriptionGroupHeader(0.1.0)	A group of related requests
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:electronicPrescription	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationRequestEPrescription(0.1.0)	Ordering of medication for patient or group
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:allergyStatement	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdListAllergiesAtPrescribing(0.1.0)	A list is a curated collection of resources
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:allergy	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdAllergyIntolerance(0.1.0)	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:practitioner	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitioner(0.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:practitionerRole	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitionerRole(0.1.0)	Roles/organizations the practitioner is associated with
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:organization	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdOrganization(0.1.0)	A grouping of people or organizations with a common purpose
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:medication	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationEPrescription(0.1.0)	Definition of a Medication
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:dispensation	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationDispenseEDispensation(0.1.0)	Dispensing a medication to a named patient
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:provenance	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdProvenance(0.1.0)	Who, What, When for a set of resources
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:header.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:header.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:electronicPrescription.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:electronicPrescription.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyStatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:dispensation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:dispensation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1	error	Bundle.meta, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.entry:patient, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.link, Bundle.entry:patient.fullUrl, Bundle.entry:patient.search, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.search.mode, Bundle.entry:patient.search.score, Bundle.entry:patient.request, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.request.ifNoneMatch, Bundle.entry:patient.request.ifModifiedSince, Bundle.entry:patient.request.ifMatch, Bundle.entry:patient.request.ifNoneExist, Bundle.entry:patient.response, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:patient.response.location, Bundle.entry:patient.response.etag, Bundle.entry:patient.response.lastModified, Bundle.entry:header, Bundle.entry:header.extension, Bundle.entry:header.modifierExtension, Bundle.entry:header.link, Bundle.entry:header.fullUrl, Bundle.entry:header.search, Bundle.entry:header.search.extension, Bundle.entry:header.search.modifierExtension, Bundle.entry:header.search.mode, Bundle.entry:header.search.score, Bundle.entry:header.request, Bundle.entry:header.request.extension, Bundle.entry:header.request.modifierExtension, Bundle.entry:header.request.method, Bundle.entry:header.request.url, Bundle.entry:header.request.ifNoneMatch, Bundle.entry:header.request.ifModifiedSince, Bundle.entry:header.request.ifMatch, Bundle.entry:header.request.ifNoneExist, Bundle.entry:header.response, Bundle.entry:header.response.extension, Bundle.entry:header.response.modifierExtension, Bundle.entry:header.response.status, Bundle.entry:header.response.location, Bundle.entry:header.response.etag, Bundle.entry:header.response.lastModified, Bundle.entry:electronicPrescription, Bundle.entry:electronicPrescription.extension, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:electronicPrescription.link, Bundle.entry:electronicPrescription.fullUrl, Bundle.entry:electronicPrescription.search, Bundle.entry:electronicPrescription.search.extension, Bundle.entry:electronicPrescription.search.modifierExtension, Bundle.entry:electronicPrescription.search.mode, Bundle.entry:electronicPrescription.search.score, Bundle.entry:electronicPrescription.request, Bundle.entry:electronicPrescription.request.extension, Bundle.entry:electronicPrescription.request.modifierExtension, Bundle.entry:electronicPrescription.request.method, Bundle.entry:electronicPrescription.request.url, Bundle.entry:electronicPrescription.request.ifNoneMatch, Bundle.entry:electronicPrescription.request.ifModifiedSince, Bundle.entry:electronicPrescription.request.ifMatch, Bundle.entry:electronicPrescription.request.ifNoneExist, Bundle.entry:electronicPrescription.response, Bundle.entry:electronicPrescription.response.extension, Bundle.entry:electronicPrescription.response.modifierExtension, Bundle.entry:electronicPrescription.response.status, Bundle.entry:electronicPrescription.response.location, Bundle.entry:electronicPrescription.response.etag, Bundle.entry:electronicPrescription.response.lastModified, Bundle.entry:allergyStatement, Bundle.entry:allergyStatement.extension, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergyStatement.link, Bundle.entry:allergyStatement.fullUrl, Bundle.entry:allergyStatement.search, Bundle.entry:allergyStatement.search.extension, Bundle.entry:allergyStatement.search.modifierExtension, Bundle.entry:allergyStatement.search.mode, Bundle.entry:allergyStatement.search.score, Bundle.entry:allergyStatement.request, Bundle.entry:allergyStatement.request.extension, Bundle.entry:allergyStatement.request.modifierExtension, Bundle.entry:allergyStatement.request.method, Bundle.entry:allergyStatement.request.url, Bundle.entry:allergyStatement.request.ifNoneMatch, Bundle.entry:allergyStatement.request.ifModifiedSince, Bundle.entry:allergyStatement.request.ifMatch, Bundle.entry:allergyStatement.request.ifNoneExist, Bundle.entry:allergyStatement.response, Bundle.entry:allergyStatement.response.extension, Bundle.entry:allergyStatement.response.modifierExtension, Bundle.entry:allergyStatement.response.status, Bundle.entry:allergyStatement.response.location, Bundle.entry:allergyStatement.response.etag, Bundle.entry:allergyStatement.response.lastModified, Bundle.entry:allergy, Bundle.entry:allergy.extension, Bundle.entry:allergy.modifierExtension, Bundle.entry:allergy.link, Bundle.entry:allergy.fullUrl, Bundle.entry:allergy.search, Bundle.entry:allergy.search.extension, Bundle.entry:allergy.search.modifierExtension, Bundle.entry:allergy.search.mode, Bundle.entry:allergy.search.score, Bundle.entry:allergy.request, Bundle.entry:allergy.request.extension, Bundle.entry:allergy.request.modifierExtension, Bundle.entry:allergy.request.method, Bundle.entry:allergy.request.url, Bundle.entry:allergy.request.ifNoneMatch, Bundle.entry:allergy.request.ifModifiedSince, Bundle.entry:allergy.request.ifMatch, Bundle.entry:allergy.request.ifNoneExist, Bundle.entry:allergy.response, Bundle.entry:allergy.response.extension, Bundle.entry:allergy.response.modifierExtension, Bundle.entry:allergy.response.status, Bundle.entry:allergy.response.location, Bundle.entry:allergy.response.etag, Bundle.entry:allergy.response.lastModified, Bundle.entry:practitioner, Bundle.entry:practitioner.extension, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitioner.link, Bundle.entry:practitioner.fullUrl, Bundle.entry:practitioner.search, Bundle.entry:practitioner.search.extension, Bundle.entry:practitioner.search.modifierExtension, Bundle.entry:practitioner.search.mode, Bundle.entry:practitioner.search.score, Bundle.entry:practitioner.request, Bundle.entry:practitioner.request.extension, Bundle.entry:practitioner.request.modifierExtension, Bundle.entry:practitioner.request.method, Bundle.entry:practitioner.request.url, Bundle.entry:practitioner.request.ifNoneMatch, Bundle.entry:practitioner.request.ifModifiedSince, Bundle.entry:practitioner.request.ifMatch, Bundle.entry:practitioner.request.ifNoneExist, Bundle.entry:practitioner.response, Bundle.entry:practitioner.response.extension, Bundle.entry:practitioner.response.modifierExtension, Bundle.entry:practitioner.response.status, Bundle.entry:practitioner.response.location, Bundle.entry:practitioner.response.etag, Bundle.entry:practitioner.response.lastModified, Bundle.entry:practitionerRole, Bundle.entry:practitionerRole.extension, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:practitionerRole.link, Bundle.entry:practitionerRole.fullUrl, Bundle.entry:practitionerRole.search, Bundle.entry:practitionerRole.search.extension, Bundle.entry:practitionerRole.search.modifierExtension, Bundle.entry:practitionerRole.search.mode, Bundle.entry:practitionerRole.search.score, Bundle.entry:practitionerRole.request, Bundle.entry:practitionerRole.request.extension, Bundle.entry:practitionerRole.request.modifierExtension, Bundle.entry:practitionerRole.request.method, Bundle.entry:practitionerRole.request.url, Bundle.entry:practitionerRole.request.ifNoneMatch, Bundle.entry:practitionerRole.request.ifModifiedSince, Bundle.entry:practitionerRole.request.ifMatch, Bundle.entry:practitionerRole.request.ifNoneExist, Bundle.entry:practitionerRole.response, Bundle.entry:practitionerRole.response.extension, Bundle.entry:practitionerRole.response.modifierExtension, Bundle.entry:practitionerRole.response.status, Bundle.entry:practitionerRole.response.location, Bundle.entry:practitionerRole.response.etag, Bundle.entry:practitionerRole.response.lastModified, Bundle.entry:organization, Bundle.entry:organization.extension, Bundle.entry:organization.modifierExtension, Bundle.entry:organization.link, Bundle.entry:organization.fullUrl, Bundle.entry:organization.search, Bundle.entry:organization.search.extension, Bundle.entry:organization.search.modifierExtension, Bundle.entry:organization.search.mode, Bundle.entry:organization.search.score, Bundle.entry:organization.request, Bundle.entry:organization.request.extension, Bundle.entry:organization.request.modifierExtension, Bundle.entry:organization.request.method, Bundle.entry:organization.request.url, Bundle.entry:organization.request.ifNoneMatch, Bundle.entry:organization.request.ifModifiedSince, Bundle.entry:organization.request.ifMatch, Bundle.entry:organization.request.ifNoneExist, Bundle.entry:organization.response, Bundle.entry:organization.response.extension, Bundle.entry:organization.response.modifierExtension, Bundle.entry:organization.response.status, Bundle.entry:organization.response.location, Bundle.entry:organization.response.etag, Bundle.entry:organization.response.lastModified, Bundle.entry:medication, Bundle.entry:medication.extension, Bundle.entry:medication.modifierExtension, Bundle.entry:medication.link, Bundle.entry:medication.fullUrl, Bundle.entry:medication.search, Bundle.entry:medication.search.extension, Bundle.entry:medication.search.modifierExtension, Bundle.entry:medication.search.mode, Bundle.entry:medication.search.score, Bundle.entry:medication.request, Bundle.entry:medication.request.extension, Bundle.entry:medication.request.modifierExtension, Bundle.entry:medication.request.method, Bundle.entry:medication.request.url, Bundle.entry:medication.request.ifNoneMatch, Bundle.entry:medication.request.ifModifiedSince, Bundle.entry:medication.request.ifMatch, Bundle.entry:medication.request.ifNoneExist, Bundle.entry:medication.response, Bundle.entry:medication.response.extension, Bundle.entry:medication.response.modifierExtension, Bundle.entry:medication.response.status, Bundle.entry:medication.response.location, Bundle.entry:medication.response.etag, Bundle.entry:medication.response.lastModified, Bundle.entry:dispensation, Bundle.entry:dispensation.extension, Bundle.entry:dispensation.modifierExtension, Bundle.entry:dispensation.link, Bundle.entry:dispensation.fullUrl, Bundle.entry:dispensation.search, Bundle.entry:dispensation.search.extension, Bundle.entry:dispensation.search.modifierExtension, Bundle.entry:dispensation.search.mode, Bundle.entry:dispensation.search.score, Bundle.entry:dispensation.request, Bundle.entry:dispensation.request.extension, Bundle.entry:dispensation.request.modifierExtension, Bundle.entry:dispensation.request.method, Bundle.entry:dispensation.request.url, Bundle.entry:dispensation.request.ifNoneMatch, Bundle.entry:dispensation.request.ifModifiedSince, Bundle.entry:dispensation.request.ifMatch, Bundle.entry:dispensation.request.ifNoneExist, Bundle.entry:dispensation.response, Bundle.entry:dispensation.response.extension, Bundle.entry:dispensation.response.modifierExtension, Bundle.entry:dispensation.response.status, Bundle.entry:dispensation.response.location, Bundle.entry:dispensation.response.etag, Bundle.entry:dispensation.response.lastModified, Bundle.entry:provenance, Bundle.entry:provenance.extension, Bundle.entry:provenance.modifierExtension, Bundle.entry:provenance.link, Bundle.entry:provenance.fullUrl, Bundle.entry:provenance.search, Bundle.entry:provenance.search.extension, Bundle.entry:provenance.search.modifierExtension, Bundle.entry:provenance.search.mode, Bundle.entry:provenance.search.score, Bundle.entry:provenance.request, Bundle.entry:provenance.request.extension, Bundle.entry:provenance.request.modifierExtension, Bundle.entry:provenance.request.method, Bundle.entry:provenance.request.url, Bundle.entry:provenance.request.ifNoneMatch, Bundle.entry:provenance.request.ifModifiedSince, Bundle.entry:provenance.request.ifMatch, Bundle.entry:provenance.request.ifNoneExist, Bundle.entry:provenance.response, Bundle.entry:provenance.response.extension, Bundle.entry:provenance.response.modifierExtension, Bundle.entry:provenance.response.status, Bundle.entry:provenance.response.location, Bundle.entry:provenance.response.etag, Bundle.entry:provenance.response.lastModified, Bundle.signature	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:header.extension, Bundle.entry:header.modifierExtension, Bundle.entry:header.search.extension, Bundle.entry:header.search.modifierExtension, Bundle.entry:header.request.extension, Bundle.entry:header.request.modifierExtension, Bundle.entry:header.response.extension, Bundle.entry:header.response.modifierExtension, Bundle.entry:electronicPrescription.extension, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:electronicPrescription.search.extension, Bundle.entry:electronicPrescription.search.modifierExtension, Bundle.entry:electronicPrescription.request.extension, Bundle.entry:electronicPrescription.request.modifierExtension, Bundle.entry:electronicPrescription.response.extension, Bundle.entry:electronicPrescription.response.modifierExtension, Bundle.entry:allergyStatement.extension, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergyStatement.search.extension, Bundle.entry:allergyStatement.search.modifierExtension, Bundle.entry:allergyStatement.request.extension, Bundle.entry:allergyStatement.request.modifierExtension, Bundle.entry:allergyStatement.response.extension, Bundle.entry:allergyStatement.response.modifierExtension, Bundle.entry:allergy.extension, Bundle.entry:allergy.modifierExtension, Bundle.entry:allergy.search.extension, Bundle.entry:allergy.search.modifierExtension, Bundle.entry:allergy.request.extension, Bundle.entry:allergy.request.modifierExtension, Bundle.entry:allergy.response.extension, Bundle.entry:allergy.response.modifierExtension, Bundle.entry:practitioner.extension, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitioner.search.extension, Bundle.entry:practitioner.search.modifierExtension, Bundle.entry:practitioner.request.extension, Bundle.entry:practitioner.request.modifierExtension, Bundle.entry:practitioner.response.extension, Bundle.entry:practitioner.response.modifierExtension, Bundle.entry:practitionerRole.extension, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:practitionerRole.search.extension, Bundle.entry:practitionerRole.search.modifierExtension, Bundle.entry:practitionerRole.request.extension, Bundle.entry:practitionerRole.request.modifierExtension, Bundle.entry:practitionerRole.response.extension, Bundle.entry:practitionerRole.response.modifierExtension, Bundle.entry:organization.extension, Bundle.entry:organization.modifierExtension, Bundle.entry:organization.search.extension, Bundle.entry:organization.search.modifierExtension, Bundle.entry:organization.request.extension, Bundle.entry:organization.request.modifierExtension, Bundle.entry:organization.response.extension, Bundle.entry:organization.response.modifierExtension, Bundle.entry:medication.extension, Bundle.entry:medication.modifierExtension, Bundle.entry:medication.search.extension, Bundle.entry:medication.search.modifierExtension, Bundle.entry:medication.request.extension, Bundle.entry:medication.request.modifierExtension, Bundle.entry:medication.response.extension, Bundle.entry:medication.response.modifierExtension, Bundle.entry:dispensation.extension, Bundle.entry:dispensation.modifierExtension, Bundle.entry:dispensation.search.extension, Bundle.entry:dispensation.search.modifierExtension, Bundle.entry:dispensation.request.extension, Bundle.entry:dispensation.request.modifierExtension, Bundle.entry:dispensation.response.extension, Bundle.entry:dispensation.response.modifierExtension, Bundle.entry:provenance.extension, Bundle.entry:provenance.modifierExtension, Bundle.entry:provenance.search.extension, Bundle.entry:provenance.search.modifierExtension, Bundle.entry:provenance.request.extension, Bundle.entry:provenance.request.modifierExtension, Bundle.entry:provenance.response.extension, Bundle.entry:provenance.response.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-bnd-rx-1	error	Bundle	All electronic prescriptions (eP) in the ePG SHALL share one prescription group identifier (system and value) (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).count() <= 1 or (entry.resource.ofType(MedicationRequest).all(groupIdentifier.exists()) and entry.resource.ofType(MedicationRequest).select(groupIdentifier.system + '|' + groupIdentifier.value).distinct().count() = 1)
ie-bnd-rx-2	error	Bundle	Every eP SHALL reference the allergy statement (a List coded LOINC 48765-2) in supportingInformation (HIQA EP 1.6.1 / 1.6.2)	entry.resource.ofType(MedicationRequest).all(supportingInformation.where(resolve() is List and resolve().code.coding.where(system = 'http://loinc.org' and code = '48765-2').exists()).exists())
ie-bnd-rx-3	error	Bundle	If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, every eP SHALL record the patient's age (HIQA EP 1.4.2; a legal requirement)	entry.resource.ofType(MedicationRequest).all(extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing').exists() or ((%resource.entry.resource.ofType(Patient).first().birthDate.toString().length() = 10) and ((%resource.entry.resource.ofType(Patient).first().birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))))
ie-bnd-rx-4	error	Bundle	The prescriber (the requester, its practitioner, or its organisation) SHALL have a telephone number (HIQA EP 2.10 / 2.10.1, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'phone').exists())
ie-bnd-rx-5	error	Bundle	Every eP, the allergy statement and every allergy SHALL be about the one Patient in the Bundle (patient safety: the allergy statement must be the patient's own)	(entry.resource.ofType(MedicationRequest).subject.reference | entry.resource.ofType(List).subject.reference | entry.resource.ofType(AllergyIntolerance).patient.reference).all(($this = %resource.entry.where(resource is Patient).fullUrl) or ($this = ('Patient/' + %resource.entry.resource.ofType(Patient).id)))
ie-bnd-rx-6	error	Bundle	Every allergy listed in the allergy statement SHALL be included in the Bundle (HIQA EP 1.6.2)	entry.resource.ofType(List).entry.item.reference.all(($this in %resource.entry.fullUrl) or ($this.replace('AllergyIntolerance/', '') in %resource.entry.resource.ofType(AllergyIntolerance).id))
ie-bnd-rx-7	error	Bundle	The prescription group header SHALL list every eP in the ePG as an action, and only those (HIQA EP 3.5)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(RequestGroup).action.resource.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(RequestGroup).action.resource.reference)) and entry.resource.ofType(RequestGroup).action.resource.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id))
ie-bnd-rx-8	error	Bundle	Every eP SHALL carry one of the prescription group identifiers as its groupIdentifier (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).all((groupIdentifier.system + '|' + groupIdentifier.value) in %resource.entry.resource.ofType(RequestGroup).identifier.select(system + '|' + value))
ie-bnd-rx-9	error	Bundle	Every eP SHALL have the prescription group's patient, prescriber and date of issue (HIQA EP 3.2; compare NHS EPS prescription-order)	entry.resource.ofType(MedicationRequest).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference and requester.reference = %resource.entry.resource.ofType(RequestGroup).first().author.reference and authoredOn = %resource.entry.resource.ofType(RequestGroup).first().authoredOn)
ie-bnd-rx-10	warning	Bundle	The prescription group status SHOULD agree with the eP statuses: an active group has an active eP; a revoked (cancelled) group has only cancelled or stopped eP; a completed group has no active, on-hold or draft eP (HIQA EP 3.3)	entry.resource.ofType(RequestGroup).all((status = 'active' implies %resource.entry.resource.ofType(MedicationRequest).where(status = 'active').exists()) and (status = 'revoked' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'cancelled' or status = 'stopped')) and (status = 'completed' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'completed' or status = 'stopped' or status = 'cancelled')))
ie-bnd-rx-11	error	Bundle	The prescriber's healthcare facility (the organisation of the prescriber's role) SHALL have an address with address line, county, postcode and country (HIQA EP 2.9, 2.9.1, 2.9.2, 2.9.4, 2.9.5, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().ofType(PractitionerRole).organization.resolve().address.where(line.exists() and state.exists() and postalCode.exists() and country.exists()).exists())
ie-bnd-rx-12	error	Bundle	Every eDispensation in the ePG SHALL be authorised by an eP in the same ePG (HIQA EP 6.5)	entry.resource.ofType(MedicationDispense).all(authorizingPrescription.exists() and authorizingPrescription.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id)))
ie-bnd-rx-13	error	Bundle	Every eDispensation in the ePG SHALL be for the ePG's patient (patient safety)	entry.resource.ofType(MedicationDispense).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference)
ie-bnd-rx-14	warning	Bundle	Every Provenance in the ePG SHOULD target resources in the same ePG	entry.resource.ofType(Provenance).target.reference.all(($this in %resource.entry.fullUrl) or ($this in %resource.entry.resource.select(resourceType + '/' + id)))
ie-bnd-xb-1	error	Bundle	A cross-border prescription SHALL give a secure contact email for the prescriber (the requester, its practitioner, or its organisation) (HIQA EP 2.10.2; a legal requirement cross-border)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'email').exists())
ie-bnd-xb-2	error	Bundle	A cross-border prescription SHALL carry a prescriber signature covering every eP, referenced by fullUrl or by relative reference (HIQA EP 2.13; a legal requirement)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference))

This structure is derived from IEMpdElectronicPrescriptionGroup

Summary

Mandatory: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	IEMpdElectronicPrescriptionGroup(0.1.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ie-bnd-rx-1, ie-bnd-rx-2, ie-bnd-rx-3, ie-bnd-rx-4, ie-bnd-rx-5, ie-bnd-rx-6, ie-bnd-rx-7, ie-bnd-rx-8, ie-bnd-rx-9, ie-bnd-rx-10, ie-bnd-rx-11, ie-bnd-rx-12, ie-bnd-rx-13, ie-bnd-rx-14, ie-bnd-xb-1, ie-bnd-xb-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	SΣ	1..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
timestamp	SΣ	1..1	instant	When the bundle was assembled
Slices for entry	SΣC	5..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:patient	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPatientEPrescription(0.1.0)	Information about an individual or animal receiving health care services
entry:header	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPrescriptionGroupHeader(0.1.0)	A group of related requests
entry:electronicPrescription	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationRequestEPrescription(0.1.0)	Ordering of medication for patient or group
entry:allergyStatement	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdListAllergiesAtPrescribing(0.1.0)	A list is a curated collection of resources
entry:allergy	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdAllergyIntolerance(0.1.0)	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
entry:practitioner	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitioner(0.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitionerRole(0.1.0)	Roles/organizations the practitioner is associated with
entry:organization	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdOrganization(0.1.0)	A grouping of people or organizations with a common purpose
entry:medication	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationEPrescription(0.1.0)	Definition of a Medication
entry:dispensation	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationDispenseEDispensation(0.1.0)	Dispensing a medication to a named patient
entry:provenance	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdProvenance(0.1.0)	Who, What, When for a set of resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1	error	Bundle.implicitRules, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry.fullUrl, Bundle.entry:patient, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.fullUrl, Bundle.entry:header, Bundle.entry:header.modifierExtension, Bundle.entry:header.fullUrl, Bundle.entry:electronicPrescription, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:electronicPrescription.fullUrl, Bundle.entry:allergyStatement, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergyStatement.fullUrl, Bundle.entry:allergy, Bundle.entry:allergy.modifierExtension, Bundle.entry:allergy.fullUrl, Bundle.entry:practitioner, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitioner.fullUrl, Bundle.entry:practitionerRole, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:practitionerRole.fullUrl, Bundle.entry:organization, Bundle.entry:organization.modifierExtension, Bundle.entry:organization.fullUrl, Bundle.entry:medication, Bundle.entry:medication.modifierExtension, Bundle.entry:medication.fullUrl, Bundle.entry:dispensation, Bundle.entry:dispensation.modifierExtension, Bundle.entry:dispensation.fullUrl, Bundle.entry:provenance, Bundle.entry:provenance.modifierExtension, Bundle.entry:provenance.fullUrl	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.entry.modifierExtension, Bundle.entry:patient.modifierExtension, Bundle.entry:header.modifierExtension, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergy.modifierExtension, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:organization.modifierExtension, Bundle.entry:medication.modifierExtension, Bundle.entry:dispensation.modifierExtension, Bundle.entry:provenance.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-bnd-rx-1	error	Bundle	All electronic prescriptions (eP) in the ePG SHALL share one prescription group identifier (system and value) (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).count() <= 1 or (entry.resource.ofType(MedicationRequest).all(groupIdentifier.exists()) and entry.resource.ofType(MedicationRequest).select(groupIdentifier.system + '|' + groupIdentifier.value).distinct().count() = 1)
ie-bnd-rx-2	error	Bundle	Every eP SHALL reference the allergy statement (a List coded LOINC 48765-2) in supportingInformation (HIQA EP 1.6.1 / 1.6.2)	entry.resource.ofType(MedicationRequest).all(supportingInformation.where(resolve() is List and resolve().code.coding.where(system = 'http://loinc.org' and code = '48765-2').exists()).exists())
ie-bnd-rx-3	error	Bundle	If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, every eP SHALL record the patient's age (HIQA EP 1.4.2; a legal requirement)	entry.resource.ofType(MedicationRequest).all(extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing').exists() or ((%resource.entry.resource.ofType(Patient).first().birthDate.toString().length() = 10) and ((%resource.entry.resource.ofType(Patient).first().birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))))
ie-bnd-rx-4	error	Bundle	The prescriber (the requester, its practitioner, or its organisation) SHALL have a telephone number (HIQA EP 2.10 / 2.10.1, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'phone').exists())
ie-bnd-rx-5	error	Bundle	Every eP, the allergy statement and every allergy SHALL be about the one Patient in the Bundle (patient safety: the allergy statement must be the patient's own)	(entry.resource.ofType(MedicationRequest).subject.reference | entry.resource.ofType(List).subject.reference | entry.resource.ofType(AllergyIntolerance).patient.reference).all(($this = %resource.entry.where(resource is Patient).fullUrl) or ($this = ('Patient/' + %resource.entry.resource.ofType(Patient).id)))
ie-bnd-rx-6	error	Bundle	Every allergy listed in the allergy statement SHALL be included in the Bundle (HIQA EP 1.6.2)	entry.resource.ofType(List).entry.item.reference.all(($this in %resource.entry.fullUrl) or ($this.replace('AllergyIntolerance/', '') in %resource.entry.resource.ofType(AllergyIntolerance).id))
ie-bnd-rx-7	error	Bundle	The prescription group header SHALL list every eP in the ePG as an action, and only those (HIQA EP 3.5)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(RequestGroup).action.resource.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(RequestGroup).action.resource.reference)) and entry.resource.ofType(RequestGroup).action.resource.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id))
ie-bnd-rx-8	error	Bundle	Every eP SHALL carry one of the prescription group identifiers as its groupIdentifier (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).all((groupIdentifier.system + '|' + groupIdentifier.value) in %resource.entry.resource.ofType(RequestGroup).identifier.select(system + '|' + value))
ie-bnd-rx-9	error	Bundle	Every eP SHALL have the prescription group's patient, prescriber and date of issue (HIQA EP 3.2; compare NHS EPS prescription-order)	entry.resource.ofType(MedicationRequest).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference and requester.reference = %resource.entry.resource.ofType(RequestGroup).first().author.reference and authoredOn = %resource.entry.resource.ofType(RequestGroup).first().authoredOn)
ie-bnd-rx-10	warning	Bundle	The prescription group status SHOULD agree with the eP statuses: an active group has an active eP; a revoked (cancelled) group has only cancelled or stopped eP; a completed group has no active, on-hold or draft eP (HIQA EP 3.3)	entry.resource.ofType(RequestGroup).all((status = 'active' implies %resource.entry.resource.ofType(MedicationRequest).where(status = 'active').exists()) and (status = 'revoked' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'cancelled' or status = 'stopped')) and (status = 'completed' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'completed' or status = 'stopped' or status = 'cancelled')))
ie-bnd-rx-11	error	Bundle	The prescriber's healthcare facility (the organisation of the prescriber's role) SHALL have an address with address line, county, postcode and country (HIQA EP 2.9, 2.9.1, 2.9.2, 2.9.4, 2.9.5, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().ofType(PractitionerRole).organization.resolve().address.where(line.exists() and state.exists() and postalCode.exists() and country.exists()).exists())
ie-bnd-rx-12	error	Bundle	Every eDispensation in the ePG SHALL be authorised by an eP in the same ePG (HIQA EP 6.5)	entry.resource.ofType(MedicationDispense).all(authorizingPrescription.exists() and authorizingPrescription.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id)))
ie-bnd-rx-13	error	Bundle	Every eDispensation in the ePG SHALL be for the ePG's patient (patient safety)	entry.resource.ofType(MedicationDispense).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference)
ie-bnd-rx-14	warning	Bundle	Every Provenance in the ePG SHOULD target resources in the same ePG	entry.resource.ofType(Provenance).target.reference.all(($this in %resource.entry.fullUrl) or ($this in %resource.entry.resource.select(resourceType + '/' + id)))
ie-bnd-xb-1	error	Bundle	A cross-border prescription SHALL give a secure contact email for the prescriber (the requester, its practitioner, or its organisation) (HIQA EP 2.10.2; a legal requirement cross-border)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'email').exists())
ie-bnd-xb-2	error	Bundle	A cross-border prescription SHALL carry a prescriber signature covering every eP, referenced by fullUrl or by relative reference (HIQA EP 2.13; a legal requirement)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference))

Differential View

This structure is derived from IEMpdElectronicPrescriptionGroup

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	IEMpdElectronicPrescriptionGroup(0.1.0)	Contains a collection of resources
entry		5..*	BackboneElement	Entry in the bundle - will have a resource or information
Slices for entry				Content/Rules for all slices
entry:provenance		1..*	BackboneElement	Entry in the bundle - will have a resource or information
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ie-bnd-xb-1	error	Bundle	A cross-border prescription SHALL give a secure contact email for the prescriber (the requester, its practitioner, or its organisation) (HIQA EP 2.10.2; a legal requirement cross-border)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'email').exists())
ie-bnd-xb-2	error	Bundle	A cross-border prescription SHALL carry a prescriber signature covering every eP, referenced by fullUrl or by relative reference (HIQA EP 2.13; a legal requirement)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	IEMpdElectronicPrescriptionGroup(0.1.0)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ie-bnd-rx-1, ie-bnd-rx-2, ie-bnd-rx-3, ie-bnd-rx-4, ie-bnd-rx-5, ie-bnd-rx-6, ie-bnd-rx-7, ie-bnd-rx-8, ie-bnd-rx-9, ie-bnd-rx-10, ie-bnd-rx-11, ie-bnd-rx-12, ie-bnd-rx-13, ie-bnd-rx-14, ie-bnd-xb-1, ie-bnd-xb-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	SΣ	1..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
timestamp	SΣ	1..1	instant	When the bundle was assembled
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	Σ	0..*	BackboneElement	Links related to this Bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
relation	Σ	1..1	string	See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url	Σ	1..1	uri	Reference details for the link
Slices for entry	SΣC	5..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:patient	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPatientEPrescription(0.1.0)	Information about an individual or animal receiving health care services
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:header	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPrescriptionGroupHeader(0.1.0)	A group of related requests
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:electronicPrescription	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationRequestEPrescription(0.1.0)	Ordering of medication for patient or group
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:allergyStatement	SΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdListAllergiesAtPrescribing(0.1.0)	A list is a curated collection of resources
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:allergy	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdAllergyIntolerance(0.1.0)	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:practitioner	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitioner(0.1.0)	A person with a formal responsibility in the provisioning of healthcare or related services
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:practitionerRole	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdPractitionerRole(0.1.0)	Roles/organizations the practitioner is associated with
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:organization	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdOrganization(0.1.0)	A grouping of people or organizations with a common purpose
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:medication	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationEPrescription(0.1.0)	Definition of a Medication
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:dispensation	SΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdMedicationDispenseEDispensation(0.1.0)	Dispensing a medication to a named patient
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
entry:provenance	SΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	IEMpdProvenance(0.1.0)	Who, What, When for a set of resources
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
mode	Σ	0..1	code	match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score	Σ	0..1	decimal	Search ranking (between 0 and 1)
request	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
method	Σ	1..1	code	GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url	Σ	1..1	uri	URL for HTTP equivalent of this entry
ifNoneMatch	Σ	0..1	string	For managing cache currency
ifModifiedSince	Σ	0..1	instant	For managing cache currency
ifMatch	Σ	0..1	string	For managing update contention
ifNoneExist	Σ	0..1	string	For conditional creates
response	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
status	Σ	1..1	string	Status response code (text optional)
location	Σ	0..1	uri	The location (if the operation returns a location)
etag	Σ	0..1	string	The Etag for the resource (if relevant)
lastModified	Σ	0..1	instant	Server's date time modified
outcome	Σ	0..1	Resource	OperationOutcome with hints and warnings (for batch/transaction)
signature	Σ	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:header.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:header.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:electronicPrescription.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:electronicPrescription.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyStatement.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyStatement.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:dispensation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:dispensation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:header, Bundle.entry:electronicPrescription, Bundle.entry:allergyStatement, Bundle.entry:allergy, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:medication, Bundle.entry:dispensation, Bundle.entry:provenance	fullUrl cannot be a version specific reference	fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value	type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date	type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource	type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource	type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1	error	Bundle.meta, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.entry:patient, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.link, Bundle.entry:patient.fullUrl, Bundle.entry:patient.search, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.search.mode, Bundle.entry:patient.search.score, Bundle.entry:patient.request, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.request.ifNoneMatch, Bundle.entry:patient.request.ifModifiedSince, Bundle.entry:patient.request.ifMatch, Bundle.entry:patient.request.ifNoneExist, Bundle.entry:patient.response, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:patient.response.location, Bundle.entry:patient.response.etag, Bundle.entry:patient.response.lastModified, Bundle.entry:header, Bundle.entry:header.extension, Bundle.entry:header.modifierExtension, Bundle.entry:header.link, Bundle.entry:header.fullUrl, Bundle.entry:header.search, Bundle.entry:header.search.extension, Bundle.entry:header.search.modifierExtension, Bundle.entry:header.search.mode, Bundle.entry:header.search.score, Bundle.entry:header.request, Bundle.entry:header.request.extension, Bundle.entry:header.request.modifierExtension, Bundle.entry:header.request.method, Bundle.entry:header.request.url, Bundle.entry:header.request.ifNoneMatch, Bundle.entry:header.request.ifModifiedSince, Bundle.entry:header.request.ifMatch, Bundle.entry:header.request.ifNoneExist, Bundle.entry:header.response, Bundle.entry:header.response.extension, Bundle.entry:header.response.modifierExtension, Bundle.entry:header.response.status, Bundle.entry:header.response.location, Bundle.entry:header.response.etag, Bundle.entry:header.response.lastModified, Bundle.entry:electronicPrescription, Bundle.entry:electronicPrescription.extension, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:electronicPrescription.link, Bundle.entry:electronicPrescription.fullUrl, Bundle.entry:electronicPrescription.search, Bundle.entry:electronicPrescription.search.extension, Bundle.entry:electronicPrescription.search.modifierExtension, Bundle.entry:electronicPrescription.search.mode, Bundle.entry:electronicPrescription.search.score, Bundle.entry:electronicPrescription.request, Bundle.entry:electronicPrescription.request.extension, Bundle.entry:electronicPrescription.request.modifierExtension, Bundle.entry:electronicPrescription.request.method, Bundle.entry:electronicPrescription.request.url, Bundle.entry:electronicPrescription.request.ifNoneMatch, Bundle.entry:electronicPrescription.request.ifModifiedSince, Bundle.entry:electronicPrescription.request.ifMatch, Bundle.entry:electronicPrescription.request.ifNoneExist, Bundle.entry:electronicPrescription.response, Bundle.entry:electronicPrescription.response.extension, Bundle.entry:electronicPrescription.response.modifierExtension, Bundle.entry:electronicPrescription.response.status, Bundle.entry:electronicPrescription.response.location, Bundle.entry:electronicPrescription.response.etag, Bundle.entry:electronicPrescription.response.lastModified, Bundle.entry:allergyStatement, Bundle.entry:allergyStatement.extension, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergyStatement.link, Bundle.entry:allergyStatement.fullUrl, Bundle.entry:allergyStatement.search, Bundle.entry:allergyStatement.search.extension, Bundle.entry:allergyStatement.search.modifierExtension, Bundle.entry:allergyStatement.search.mode, Bundle.entry:allergyStatement.search.score, Bundle.entry:allergyStatement.request, Bundle.entry:allergyStatement.request.extension, Bundle.entry:allergyStatement.request.modifierExtension, Bundle.entry:allergyStatement.request.method, Bundle.entry:allergyStatement.request.url, Bundle.entry:allergyStatement.request.ifNoneMatch, Bundle.entry:allergyStatement.request.ifModifiedSince, Bundle.entry:allergyStatement.request.ifMatch, Bundle.entry:allergyStatement.request.ifNoneExist, Bundle.entry:allergyStatement.response, Bundle.entry:allergyStatement.response.extension, Bundle.entry:allergyStatement.response.modifierExtension, Bundle.entry:allergyStatement.response.status, Bundle.entry:allergyStatement.response.location, Bundle.entry:allergyStatement.response.etag, Bundle.entry:allergyStatement.response.lastModified, Bundle.entry:allergy, Bundle.entry:allergy.extension, Bundle.entry:allergy.modifierExtension, Bundle.entry:allergy.link, Bundle.entry:allergy.fullUrl, Bundle.entry:allergy.search, Bundle.entry:allergy.search.extension, Bundle.entry:allergy.search.modifierExtension, Bundle.entry:allergy.search.mode, Bundle.entry:allergy.search.score, Bundle.entry:allergy.request, Bundle.entry:allergy.request.extension, Bundle.entry:allergy.request.modifierExtension, Bundle.entry:allergy.request.method, Bundle.entry:allergy.request.url, Bundle.entry:allergy.request.ifNoneMatch, Bundle.entry:allergy.request.ifModifiedSince, Bundle.entry:allergy.request.ifMatch, Bundle.entry:allergy.request.ifNoneExist, Bundle.entry:allergy.response, Bundle.entry:allergy.response.extension, Bundle.entry:allergy.response.modifierExtension, Bundle.entry:allergy.response.status, Bundle.entry:allergy.response.location, Bundle.entry:allergy.response.etag, Bundle.entry:allergy.response.lastModified, Bundle.entry:practitioner, Bundle.entry:practitioner.extension, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitioner.link, Bundle.entry:practitioner.fullUrl, Bundle.entry:practitioner.search, Bundle.entry:practitioner.search.extension, Bundle.entry:practitioner.search.modifierExtension, Bundle.entry:practitioner.search.mode, Bundle.entry:practitioner.search.score, Bundle.entry:practitioner.request, Bundle.entry:practitioner.request.extension, Bundle.entry:practitioner.request.modifierExtension, Bundle.entry:practitioner.request.method, Bundle.entry:practitioner.request.url, Bundle.entry:practitioner.request.ifNoneMatch, Bundle.entry:practitioner.request.ifModifiedSince, Bundle.entry:practitioner.request.ifMatch, Bundle.entry:practitioner.request.ifNoneExist, Bundle.entry:practitioner.response, Bundle.entry:practitioner.response.extension, Bundle.entry:practitioner.response.modifierExtension, Bundle.entry:practitioner.response.status, Bundle.entry:practitioner.response.location, Bundle.entry:practitioner.response.etag, Bundle.entry:practitioner.response.lastModified, Bundle.entry:practitionerRole, Bundle.entry:practitionerRole.extension, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:practitionerRole.link, Bundle.entry:practitionerRole.fullUrl, Bundle.entry:practitionerRole.search, Bundle.entry:practitionerRole.search.extension, Bundle.entry:practitionerRole.search.modifierExtension, Bundle.entry:practitionerRole.search.mode, Bundle.entry:practitionerRole.search.score, Bundle.entry:practitionerRole.request, Bundle.entry:practitionerRole.request.extension, Bundle.entry:practitionerRole.request.modifierExtension, Bundle.entry:practitionerRole.request.method, Bundle.entry:practitionerRole.request.url, Bundle.entry:practitionerRole.request.ifNoneMatch, Bundle.entry:practitionerRole.request.ifModifiedSince, Bundle.entry:practitionerRole.request.ifMatch, Bundle.entry:practitionerRole.request.ifNoneExist, Bundle.entry:practitionerRole.response, Bundle.entry:practitionerRole.response.extension, Bundle.entry:practitionerRole.response.modifierExtension, Bundle.entry:practitionerRole.response.status, Bundle.entry:practitionerRole.response.location, Bundle.entry:practitionerRole.response.etag, Bundle.entry:practitionerRole.response.lastModified, Bundle.entry:organization, Bundle.entry:organization.extension, Bundle.entry:organization.modifierExtension, Bundle.entry:organization.link, Bundle.entry:organization.fullUrl, Bundle.entry:organization.search, Bundle.entry:organization.search.extension, Bundle.entry:organization.search.modifierExtension, Bundle.entry:organization.search.mode, Bundle.entry:organization.search.score, Bundle.entry:organization.request, Bundle.entry:organization.request.extension, Bundle.entry:organization.request.modifierExtension, Bundle.entry:organization.request.method, Bundle.entry:organization.request.url, Bundle.entry:organization.request.ifNoneMatch, Bundle.entry:organization.request.ifModifiedSince, Bundle.entry:organization.request.ifMatch, Bundle.entry:organization.request.ifNoneExist, Bundle.entry:organization.response, Bundle.entry:organization.response.extension, Bundle.entry:organization.response.modifierExtension, Bundle.entry:organization.response.status, Bundle.entry:organization.response.location, Bundle.entry:organization.response.etag, Bundle.entry:organization.response.lastModified, Bundle.entry:medication, Bundle.entry:medication.extension, Bundle.entry:medication.modifierExtension, Bundle.entry:medication.link, Bundle.entry:medication.fullUrl, Bundle.entry:medication.search, Bundle.entry:medication.search.extension, Bundle.entry:medication.search.modifierExtension, Bundle.entry:medication.search.mode, Bundle.entry:medication.search.score, Bundle.entry:medication.request, Bundle.entry:medication.request.extension, Bundle.entry:medication.request.modifierExtension, Bundle.entry:medication.request.method, Bundle.entry:medication.request.url, Bundle.entry:medication.request.ifNoneMatch, Bundle.entry:medication.request.ifModifiedSince, Bundle.entry:medication.request.ifMatch, Bundle.entry:medication.request.ifNoneExist, Bundle.entry:medication.response, Bundle.entry:medication.response.extension, Bundle.entry:medication.response.modifierExtension, Bundle.entry:medication.response.status, Bundle.entry:medication.response.location, Bundle.entry:medication.response.etag, Bundle.entry:medication.response.lastModified, Bundle.entry:dispensation, Bundle.entry:dispensation.extension, Bundle.entry:dispensation.modifierExtension, Bundle.entry:dispensation.link, Bundle.entry:dispensation.fullUrl, Bundle.entry:dispensation.search, Bundle.entry:dispensation.search.extension, Bundle.entry:dispensation.search.modifierExtension, Bundle.entry:dispensation.search.mode, Bundle.entry:dispensation.search.score, Bundle.entry:dispensation.request, Bundle.entry:dispensation.request.extension, Bundle.entry:dispensation.request.modifierExtension, Bundle.entry:dispensation.request.method, Bundle.entry:dispensation.request.url, Bundle.entry:dispensation.request.ifNoneMatch, Bundle.entry:dispensation.request.ifModifiedSince, Bundle.entry:dispensation.request.ifMatch, Bundle.entry:dispensation.request.ifNoneExist, Bundle.entry:dispensation.response, Bundle.entry:dispensation.response.extension, Bundle.entry:dispensation.response.modifierExtension, Bundle.entry:dispensation.response.status, Bundle.entry:dispensation.response.location, Bundle.entry:dispensation.response.etag, Bundle.entry:dispensation.response.lastModified, Bundle.entry:provenance, Bundle.entry:provenance.extension, Bundle.entry:provenance.modifierExtension, Bundle.entry:provenance.link, Bundle.entry:provenance.fullUrl, Bundle.entry:provenance.search, Bundle.entry:provenance.search.extension, Bundle.entry:provenance.search.modifierExtension, Bundle.entry:provenance.search.mode, Bundle.entry:provenance.search.score, Bundle.entry:provenance.request, Bundle.entry:provenance.request.extension, Bundle.entry:provenance.request.modifierExtension, Bundle.entry:provenance.request.method, Bundle.entry:provenance.request.url, Bundle.entry:provenance.request.ifNoneMatch, Bundle.entry:provenance.request.ifModifiedSince, Bundle.entry:provenance.request.ifMatch, Bundle.entry:provenance.request.ifNoneExist, Bundle.entry:provenance.response, Bundle.entry:provenance.response.extension, Bundle.entry:provenance.response.modifierExtension, Bundle.entry:provenance.response.status, Bundle.entry:provenance.response.location, Bundle.entry:provenance.response.etag, Bundle.entry:provenance.response.lastModified, Bundle.signature	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:header.extension, Bundle.entry:header.modifierExtension, Bundle.entry:header.search.extension, Bundle.entry:header.search.modifierExtension, Bundle.entry:header.request.extension, Bundle.entry:header.request.modifierExtension, Bundle.entry:header.response.extension, Bundle.entry:header.response.modifierExtension, Bundle.entry:electronicPrescription.extension, Bundle.entry:electronicPrescription.modifierExtension, Bundle.entry:electronicPrescription.search.extension, Bundle.entry:electronicPrescription.search.modifierExtension, Bundle.entry:electronicPrescription.request.extension, Bundle.entry:electronicPrescription.request.modifierExtension, Bundle.entry:electronicPrescription.response.extension, Bundle.entry:electronicPrescription.response.modifierExtension, Bundle.entry:allergyStatement.extension, Bundle.entry:allergyStatement.modifierExtension, Bundle.entry:allergyStatement.search.extension, Bundle.entry:allergyStatement.search.modifierExtension, Bundle.entry:allergyStatement.request.extension, Bundle.entry:allergyStatement.request.modifierExtension, Bundle.entry:allergyStatement.response.extension, Bundle.entry:allergyStatement.response.modifierExtension, Bundle.entry:allergy.extension, Bundle.entry:allergy.modifierExtension, Bundle.entry:allergy.search.extension, Bundle.entry:allergy.search.modifierExtension, Bundle.entry:allergy.request.extension, Bundle.entry:allergy.request.modifierExtension, Bundle.entry:allergy.response.extension, Bundle.entry:allergy.response.modifierExtension, Bundle.entry:practitioner.extension, Bundle.entry:practitioner.modifierExtension, Bundle.entry:practitioner.search.extension, Bundle.entry:practitioner.search.modifierExtension, Bundle.entry:practitioner.request.extension, Bundle.entry:practitioner.request.modifierExtension, Bundle.entry:practitioner.response.extension, Bundle.entry:practitioner.response.modifierExtension, Bundle.entry:practitionerRole.extension, Bundle.entry:practitionerRole.modifierExtension, Bundle.entry:practitionerRole.search.extension, Bundle.entry:practitionerRole.search.modifierExtension, Bundle.entry:practitionerRole.request.extension, Bundle.entry:practitionerRole.request.modifierExtension, Bundle.entry:practitionerRole.response.extension, Bundle.entry:practitionerRole.response.modifierExtension, Bundle.entry:organization.extension, Bundle.entry:organization.modifierExtension, Bundle.entry:organization.search.extension, Bundle.entry:organization.search.modifierExtension, Bundle.entry:organization.request.extension, Bundle.entry:organization.request.modifierExtension, Bundle.entry:organization.response.extension, Bundle.entry:organization.response.modifierExtension, Bundle.entry:medication.extension, Bundle.entry:medication.modifierExtension, Bundle.entry:medication.search.extension, Bundle.entry:medication.search.modifierExtension, Bundle.entry:medication.request.extension, Bundle.entry:medication.request.modifierExtension, Bundle.entry:medication.response.extension, Bundle.entry:medication.response.modifierExtension, Bundle.entry:dispensation.extension, Bundle.entry:dispensation.modifierExtension, Bundle.entry:dispensation.search.extension, Bundle.entry:dispensation.search.modifierExtension, Bundle.entry:dispensation.request.extension, Bundle.entry:dispensation.request.modifierExtension, Bundle.entry:dispensation.response.extension, Bundle.entry:dispensation.response.modifierExtension, Bundle.entry:provenance.extension, Bundle.entry:provenance.modifierExtension, Bundle.entry:provenance.search.extension, Bundle.entry:provenance.search.modifierExtension, Bundle.entry:provenance.request.extension, Bundle.entry:provenance.request.modifierExtension, Bundle.entry:provenance.response.extension, Bundle.entry:provenance.response.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ie-bnd-rx-1	error	Bundle	All electronic prescriptions (eP) in the ePG SHALL share one prescription group identifier (system and value) (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).count() <= 1 or (entry.resource.ofType(MedicationRequest).all(groupIdentifier.exists()) and entry.resource.ofType(MedicationRequest).select(groupIdentifier.system + '|' + groupIdentifier.value).distinct().count() = 1)
ie-bnd-rx-2	error	Bundle	Every eP SHALL reference the allergy statement (a List coded LOINC 48765-2) in supportingInformation (HIQA EP 1.6.1 / 1.6.2)	entry.resource.ofType(MedicationRequest).all(supportingInformation.where(resolve() is List and resolve().code.coding.where(system = 'http://loinc.org' and code = '48765-2').exists()).exists())
ie-bnd-rx-3	error	Bundle	If the patient is under 12 years old at the date of prescribing, or the date of birth is not a full date, every eP SHALL record the patient's age (HIQA EP 1.4.2; a legal requirement)	entry.resource.ofType(MedicationRequest).all(extension('https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing').exists() or ((%resource.entry.resource.ofType(Patient).first().birthDate.toString().length() = 10) and ((%resource.entry.resource.ofType(Patient).first().birthDate + 12 years).toString() <= authoredOn.toString().substring(0,10))))
ie-bnd-rx-4	error	Bundle	The prescriber (the requester, its practitioner, or its organisation) SHALL have a telephone number (HIQA EP 2.10 / 2.10.1, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'phone').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'phone').exists())
ie-bnd-rx-5	error	Bundle	Every eP, the allergy statement and every allergy SHALL be about the one Patient in the Bundle (patient safety: the allergy statement must be the patient's own)	(entry.resource.ofType(MedicationRequest).subject.reference | entry.resource.ofType(List).subject.reference | entry.resource.ofType(AllergyIntolerance).patient.reference).all(($this = %resource.entry.where(resource is Patient).fullUrl) or ($this = ('Patient/' + %resource.entry.resource.ofType(Patient).id)))
ie-bnd-rx-6	error	Bundle	Every allergy listed in the allergy statement SHALL be included in the Bundle (HIQA EP 1.6.2)	entry.resource.ofType(List).entry.item.reference.all(($this in %resource.entry.fullUrl) or ($this.replace('AllergyIntolerance/', '') in %resource.entry.resource.ofType(AllergyIntolerance).id))
ie-bnd-rx-7	error	Bundle	The prescription group header SHALL list every eP in the ePG as an action, and only those (HIQA EP 3.5)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(RequestGroup).action.resource.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(RequestGroup).action.resource.reference)) and entry.resource.ofType(RequestGroup).action.resource.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id))
ie-bnd-rx-8	error	Bundle	Every eP SHALL carry one of the prescription group identifiers as its groupIdentifier (HIQA EP 3.1)	entry.resource.ofType(MedicationRequest).all((groupIdentifier.system + '|' + groupIdentifier.value) in %resource.entry.resource.ofType(RequestGroup).identifier.select(system + '|' + value))
ie-bnd-rx-9	error	Bundle	Every eP SHALL have the prescription group's patient, prescriber and date of issue (HIQA EP 3.2; compare NHS EPS prescription-order)	entry.resource.ofType(MedicationRequest).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference and requester.reference = %resource.entry.resource.ofType(RequestGroup).first().author.reference and authoredOn = %resource.entry.resource.ofType(RequestGroup).first().authoredOn)
ie-bnd-rx-10	warning	Bundle	The prescription group status SHOULD agree with the eP statuses: an active group has an active eP; a revoked (cancelled) group has only cancelled or stopped eP; a completed group has no active, on-hold or draft eP (HIQA EP 3.3)	entry.resource.ofType(RequestGroup).all((status = 'active' implies %resource.entry.resource.ofType(MedicationRequest).where(status = 'active').exists()) and (status = 'revoked' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'cancelled' or status = 'stopped')) and (status = 'completed' implies %resource.entry.resource.ofType(MedicationRequest).all(status = 'completed' or status = 'stopped' or status = 'cancelled')))
ie-bnd-rx-11	error	Bundle	The prescriber's healthcare facility (the organisation of the prescriber's role) SHALL have an address with address line, county, postcode and country (HIQA EP 2.9, 2.9.1, 2.9.2, 2.9.4, 2.9.5, Mandatory)	entry.resource.ofType(MedicationRequest).all(requester.resolve().ofType(PractitionerRole).organization.resolve().address.where(line.exists() and state.exists() and postalCode.exists() and country.exists()).exists())
ie-bnd-rx-12	error	Bundle	Every eDispensation in the ePG SHALL be authorised by an eP in the same ePG (HIQA EP 6.5)	entry.resource.ofType(MedicationDispense).all(authorizingPrescription.exists() and authorizingPrescription.reference.all(($this in %resource.entry.where(resource is MedicationRequest).fullUrl) or ($this.replace('MedicationRequest/', '') in %resource.entry.resource.ofType(MedicationRequest).id)))
ie-bnd-rx-13	error	Bundle	Every eDispensation in the ePG SHALL be for the ePG's patient (patient safety)	entry.resource.ofType(MedicationDispense).all(subject.reference = %resource.entry.resource.ofType(RequestGroup).first().subject.reference)
ie-bnd-rx-14	warning	Bundle	Every Provenance in the ePG SHOULD target resources in the same ePG	entry.resource.ofType(Provenance).target.reference.all(($this in %resource.entry.fullUrl) or ($this in %resource.entry.resource.select(resourceType + '/' + id)))
ie-bnd-xb-1	error	Bundle	A cross-border prescription SHALL give a secure contact email for the prescriber (the requester, its practitioner, or its organisation) (HIQA EP 2.10.2; a legal requirement cross-border)	entry.resource.ofType(MedicationRequest).all(requester.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).practitioner.resolve().telecom.where(system = 'email').exists() or requester.resolve().ofType(PractitionerRole).organization.resolve().telecom.where(system = 'email').exists())
ie-bnd-xb-2	error	Bundle	A cross-border prescription SHALL carry a prescriber signature covering every eP, referenced by fullUrl or by relative reference (HIQA EP 2.13; a legal requirement)	entry.where(resource is MedicationRequest).all((fullUrl in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference) or (('MedicationRequest/' + resource.id) in %resource.entry.resource.ofType(Provenance).where(signature.exists()).target.reference))

This structure is derived from IEMpdElectronicPrescriptionGroup

Summary

Mandatory: 1 element