<status value="draft" /> <description value="This profile defines a set of constraints to the FHIR Bundle resource for use in Alberta eReferral and eConsult (AB:eReC). It re-profiles the CA-eReC Bundle profile and it includes constraints applied to the Bundle resource by the AB:eReC project to include hard constraints (invariants) than enforce what sections and resource elements are allowed to be present in an Alberta eReferral and/or eConsult. These have been applied at the Bundle level as an alternative to forbidding elements through 0..0 cardinality - to balance the need for mechanical validation on eReferral and/or eConsult against the re-use of clinical FHIR profiles under different contexts." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Bundle" /> <baseDefinition value="http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-Bundle" /> <derivation value="constraint" /> <differential> <element id="Bundle"> <path value="Bundle" /> <constraint> <key value="aberec-bdl-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following details SHALL NOT be present in all resources within the bundle instance except the bundle itself: contained" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.resource.where(contained.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-app-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Appointment details SHALL NOT be present: reasonReference, supportingInformation, slot" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is Appointment).resource.where(reasonReference.exists()).exists().not() and Bundle.entry.where(resource is Appointment).resource.where(supportingInformation.exists()).exists().not() and Bundle.entry.where(resource is Appointment).resource.where(slot.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-com-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Communication details SHALL NOT be present: partOf, about, encounter, reasonReference." /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is Communication).resource.where(partOf.exists()).exists().not() and Bundle.entry.where(resource is Communication).resource.where(about.exists()).exists().not() and Bundle.entry.where(resource is Communication).resource.where(encounter.exists()).exists().not() and Bundle.entry.where(resource is Communication).resource.where(reasonReference.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-dcr-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following DocumentReference details SHALL NOT be present: authenticator, custodian, relatesTo. context.encounter" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is DocumentReference).resource.where(authenticator.exists()).exists().not() and Bundle.entry.where(resource is DocumentReference).resource.where(custodian.exists()).exists().not() and Bundle.entry.where(resource is DocumentReference).resource.where(relatesTo.exists()).exists().not() and Bundle.entry.where(resource is DocumentReference).resource.where(context.encounter.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-hcs-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following HealthcareService details SHALL NOT be present: photo" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is HealthcareService).resource.where(photo.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-loc-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Location details SHALL NOT be present: telecom.use, and address.use, managingOrganization" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is Location).resource.where(telecom.use.exists()).exists().not() and Bundle.entry.where(resource is Location).resource.where(address.use.exists()).exists().not() and Bundle.entry.where(resource is Location).resource.where(managingOrganization.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-pat-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Patient details SHALL NOT be present: text, active, address.text, maritalStatus, multipleBirth, photo, contact.gender, contact.organization, contact.period, generalPractitioner, managingOrganization" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is Patient).resource.where(text.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(active.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(address.text.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(maritalStatus.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(multipleBirth.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(photo.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(contact.gender.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(contact.organization.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(contact.period.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(generalPractitioner.exists()).exists().not() and Bundle.entry.where(resource is Patient).resource.where(managingOrganization.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-pat-2" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Patient details SHALL be present: telecom:Phone" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.resource.ofType(Patient).all(telecom.where(system = 'phone').exists())" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-prc-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Practitioner details SHALL NOT be present: photo, qualification, birthDate" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is Practitioner).resource.where(photo.exists()).exists().not() and Bundle.entry.where(resource is Practitioner).resource.where(qualification.exists()).exists().not() and Bundle.entry.where(resource is Practitioner).resource.where(birthDate.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-prl-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following PractitionerRole details SHALL NOT be present: healtcareService" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is PractitionerRole).resource.where(healthcareService.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-prl-2" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following PractitionerRole details SHALL be present: specialty.coding.code" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is PractitionerRole).resource.where(specialty.coding.code.exists()).exists()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-srq-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following ServiceRequest details SHALL NOT be present: replaces, encounter, reasonReference, insurance, specimen, relevantHistory" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is ServiceRequest).resource.where(encounter.exists()).exists().not() and Bundle.entry.where(resource is ServiceRequest).resource.where(reasonReference.exists()).exists().not() and Bundle.entry.where(resource is ServiceRequest).resource.where(insurance.exists()).exists().not() and Bundle.entry.where(resource is ServiceRequest).resource.where(specimen.exists()).exists().not() and Bundle.entry.where(resource is ServiceRequest).resource.where(relevantHistory.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> <constraint> <key value="aberec-bdl-tsk-1" /> <severity value="error" /> <human value="If Bundle.meta.extension.extension.valueString = 'AB:eReC', then the following Task details SHALL NOT be present: for, encounter, insurance, relevantHistory, restriction.recipient, input" /> <expression value="Bundle.meta.extension.extension.where(valueString = 'AB:eReC').exists() implies Bundle.entry.where(resource is Task).resource.where(for.exists()).exists().not() and Bundle.entry.where(resource is Task).resource.where(encounter.exists()).exists().not() and Bundle.entry.where(resource is Task).resource.where(insurance.exists()).exists().not() and Bundle.entry.where(resource is Task).resource.where(relevantHistory.exists()).exists().not() and Bundle.entry.where(resource is Task).resource.where(restriction.recipient.exists()).exists().not() and Bundle.entry.where(resource is Task).resource.where(input.exists()).exists().not()" /> <source value="https://www.alberta.ca/fhir/aberec/StructureDefinition/BundleABeReC" /> </constraint> </element> <element id="Bundle.meta.extension"> <path value="Bundle.meta.extension" /> <min value="1" /> </element> <element id="Bundle.meta.extension:submissionMetadata"> <path value="Bundle.meta.extension" /> <sliceName value="submissionMetadata" /> <min value="1" /> <max value="*" /> <type> <code value="Extension" /> <profile value="https://www.alberta.ca/fhir/psab/StructureDefinition/ext-EntityIdentifierAndName" /> </type> <mustSupport value="true" /> </element> <element id="Bundle.meta.security"> <path value="Bundle.meta.security" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="https://www.alberta.ca/fhir/ValueSet/security-label" /> </binding> </element> <element id="Bundle.identifier"> <path value="Bundle.identifier" /> <min value="1" /> </element> <element id="Bundle.entry:Message"> <path value="Bundle.entry" /> <sliceName value="Message" /> </element> <element id="Bundle.entry:Message.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Resource" /> <profile value="https://www.alberta.ca/fhir/aberec/StructureDefinition/MessageHeaderABeReC" /> </type> </element> <element id="Bundle.entry:Focus"> <path value="Bundle.entry" /> <sliceName value="Focus" /> </element> <element id="Bundle.entry:Focus.resource"> <path value="Bundle.entry.resource" /> <type> <code value="Resource" /> <profile value="https://www.alberta.ca/fhir/aberec/StructureDefinition/AppointmentABeReC" /> <profile value="https://www.alberta.ca/fhir/aberec/StructureDefinition/CommunicationABeReC" /> <profile value="https://www.alberta.ca/fhir/aberec/StructureDefinition/ServiceRequestABeReC" /> <profile value="https://www.alberta.ca/fhir/aberec/StructureDefinition/TaskABeReC" /> </type> </element> </differential> </StructureDefinition>