CEZIH osnova

There are no (further) constraints on this element

Element id

Bundle.id

Short description

Logical id of this artifact

Definition

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

Comments

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

Data type

meta

0..1

There are no (further) constraints on this element

Element id

Bundle.meta

Short description

Metadata about the resource

Definition

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Bundle.implicitRules

Short description

A set of rules under which this content was created

Definition

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

Comments

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

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

Data type

Binding

A human language.

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

identifier

0..0

There are no (further) constraints on this element

Element id

Bundle.identifier

Short description

Persistent identifier for the bundle

Definition

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

Comments

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
cda: ClinicalDocument.id

type

1..1

codeBindingPattern

Element id

Bundle.type

Short description

Definira da resurs Bundle predstavlja FHIR poruku

Definition

Definira da resurs Bundle predstavlja FHIR poruku

Comments

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

Data type

Binding

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

BundleType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

message

Mappings

w5: FiveWs.class

timestamp

1..1

Element id

Bundle.timestamp

Short description

Vrijeme kreiranja poruke

Definition

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

Comments

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

Usage:

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

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.init
cda: ClinicalDocument.effectiveTime

total

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.total

Short description

If search, the total number of matches

Definition

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

Comments

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

link

0..0

There are no (further) constraints on this element

Element id

Bundle.link

Short description

Links related to this Bundle

Definition

A series of links that provide context to this bundle.

Comments

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

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

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

entry

Σ C

2..2

There are no (further) constraints on this element

Element id

Bundle.entry

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Slicing

Ordered, Closed, by resource(Type)

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

(All Slices)

The requirements in this element apply to all slices

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

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

Comments

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

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

Requirements

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

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

link

0..*

see (link)

There are no (further) constraints on this element

Element id

Bundle.entry.link

Short description

Links related to this entry

Definition

A series of links that provide context to this entry.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

fullUrl

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.fullUrl

Short description

URI for resource (Absolute URL server address or URI for UUID/OID)

Definition

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

fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
Results from operations might involve resources that are not identified.

Comments

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

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

resource

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.resource

Short description

A resource in the bundle

Definition

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

Data type

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.search

Short description

Search related information

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.search.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.search.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.search.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

mode

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry.search.mode

Short description

match | include | outcome - why this is in the result set

Definition

Why this 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.

Comments

There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.

Data type

Binding

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.

SearchEntryMode (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

score

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.search.score

Short description

Search ranking (between 0 and 1)

Definition

When searching, the server's search ranking score for the entry.

Comments

Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.

See Patient Match for the EMPI search which relates to this element.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

request

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.request

Short description

Additional execution information (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.request.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.request.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.request.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

method

1..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry.request.method

Short description

Definition

In a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.

Data type

Binding

HTTP verbs (in the HTTP command line). See HTTP rfc for details.

HTTPVerb (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

url

1..1

There are no (further) constraints on this element

Element id

Bundle.entry.request.url

Short description

URL for HTTP equivalent of this entry

Definition

The URL for this entry, relative to the root (the address to which the request is posted).

Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifNoneMatch

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.request.ifNoneMatch

Short description

For managing cache currency

Definition

If the ETag values match, return a 304 Not Modified status. See the API documentation for "Conditional Read".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifModifiedSince

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.request.ifModifiedSince

Short description

For managing cache currency

Definition

Only perform the operation if the last updated date matches. See the API documentation for "Conditional Read".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifMatch

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.request.ifMatch

Short description

For managing update contention

Definition

Only perform the operation if the Etag value matches. For more information, see the API section "Managing Resource Contention".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifNoneExist

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.request.ifNoneExist

Short description

For conditional creates

Definition

Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for "Conditional Create". This is just the query portion of the URL - what follows the "?" (not including the "?").

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

response

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.response

Short description

Results of execution (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.response.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.response.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry.response.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

status

1..1

There are no (further) constraints on this element

Element id

Bundle.entry.response.status

Short description

Status response code (text optional)

Definition

The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

location

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.response.location

Short description

The location (if the operation returns a location)

Definition

The location header created by processing this operation, populated if the operation returns a location.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

etag

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.response.etag

Short description

The Etag for the resource (if relevant)

Definition

The Etag for the resource, if the operation for the entry produced a versioned resource (see Resource Metadata and Versioning and Managing Resource Contention).

Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastModified

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.response.lastModified

Short description

Server's date time modified

Definition

The date/time that the resource was modified on the server.

Comments

This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

outcome

0..1

There are no (further) constraints on this element

Element id

Bundle.entry.response.outcome

Short description

OperationOutcome with hints and warnings (for batch/transaction)

Definition

An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.

Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

This outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.

Data type

PMIRMessageHeaderEntry

Σ C

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

link

0..*

see (link)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.link

Short description

Links related to this entry

Definition

A series of links that provide context to this entry.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

fullUrl

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.fullUrl

Short description

URI for resource (Absolute URL server address or URI for UUID/OID)

Definition

fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
Results from operations might involve resources that are not identified.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

resource

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource

Short description

Resurs koji opisuje poruku koja se razmjenjuje između sustava.

Definition

The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.

Data type

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
v2: MSH / MSA / ERR
rim: Message

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.id

Short description

Logical id of this artifact

Definition

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

Comments

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

Data type

meta

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.meta

Short description

Metadata about the resource

Definition

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Mappings

rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

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

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

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

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

event[x]

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.event[x]

Short description

Code for the event this message represents or link to event definition

Definition

Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value "http://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition.

Requirements

Drives the behavior associated with this message.

Comments

The time of the event will be found in the focus resource. The time of the message will be found in Bundle.timestamp.

Slicing

Unordered, Closed, by $this(Type)

Binding

One of the message events defined as part of this version of FHIR.

MessageEvent (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.what[x]
v2: MSH-9.2
rim: ./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code

eventUri

1..1

uriPattern

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.event[x]:eventUri

Short description

Code for the event this message represents or link to event definition

Definition

Requirements

Drives the behavior associated with this message.

Comments

The time of the event will be found in the focus resource. The time of the message will be found in Bundle.timestamp.

Data type

Binding

One of the message events defined as part of this version of FHIR.

MessageEvent (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

urn:ihe:iti:pmir:2019:patient-feed

Mappings

w5: FiveWs.what[x]
v2: MSH-9.2
rim: ./payload[classCode="CACT" and moodCode="EVN" and isNormalAct()]/code[isNormalDatatype()]/code

destination

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination

Short description

Sustav u koji je poslana poruka.

Definition

Sustav u koji je poslana poruka. U slučaju registracije stranca - CEZIH.

Requirements

Indicates where message is to be sent for routing purposes. Allows verification of "am I the intended recipient".

Comments

There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.subject[x]
rim: ./communicationFunction[typeCode="RCV"]
w5: FiveWs.subject

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

name

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.name

Short description

Name of system

Definition

Human-readable name for the target system.

Requirements

May be used for routing of response and/or to support audit.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSH-5
rim: unique(./entity[determinerCode="INST" and (classCode=("DEV", "PSN", "ORG"]/name[type='ST' and isNormalDatatype()])

target

0..1

Reference(Device)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.target

Short description

Particular delivery destination within the destination

Definition

Identifies the target end system in situations where the initial message transmission is to an intermediary system.

Requirements

Supports multi-hop routing.

Data type

Reference(Device)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: unique(./entity[determinerCode="INST" and (classCode=("DEV", "PSN", "ORG"]

endpoint

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.endpoint

Short description

ID sustava CEZIH

Definition

Indicates where the message should be routed to.

Requirements

Identifies where to route the message.

Comments

The id may be a non-resolvable URI for systems that do not use standard network-based addresses.

Data type

Reference(HROrganizacija)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSH-25 (or MSH-6)
rim: ./telecom

receiver

0..1

Reference(Practitioner | PractitionerRole | Organization)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.destination.receiver

Short description

Intended "real-world" recipient for the data

Definition

Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.

Requirements

Allows routing beyond just the application level.

Data type

Reference(Practitioner | PractitionerRole | Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.subject[x]
v2: PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'
rim: Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText
w5: FiveWs.subject

sender

S Σ

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender

Short description

Real world sender of the message

Definition

Identifies the sending system to allow the use of a trust relationship.

Requirements

Required if known

Comments

Use case is for where a (trusted) sending system is responsible for multiple organizations, and therefore cannot differentiate based on source endpoint / authentication alone.

Data type

Reference(HROrganizacija)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.subject[x]
v2: PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'
rim: Not directly supported. Could be shared using attentionLine.value with an appropriate keyWordText
w5: FiveWs.subject

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

1..1

uriBindingPattern

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

Organization

Mappings

rim: N/A

identifier

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier

Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://fhir.cezih.hr/specifikacije/identifikatori/HZZO-sifra-zdravstvene-organizacije

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.sender.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

enterer

S Σ

0..0

Reference(Practitioner | PractitionerRole)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.enterer

Short description

The source of the data entry

Definition

The person or device that performed the data entry leading to this message. When there is more than one candidate, pick the most proximal to the message. Can provide other enterers in extensions.

Requirements

Required if known

Comments

Usually only for the request but can be used in a response.

Data type

Reference(Practitioner | PractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.author
v2: EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10
rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[typeCode="ENT" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode=("DEV", "PSN") and determinerCode="INST"])

author

S Σ

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author

Short description

Autor poruke.

Definition

Autor poruke. Zdravstveni djelatnik koji registrira stranca.

Requirements

Required if known

Comments

Usually only for the request but can be used in a response.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.author
v2: ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12
rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="AUT" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode=("DEV", "PSN") and determinerCode="INST"])

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

1..1

uriBindingPattern

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Comments

Data type

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

Practitioner

Mappings

rim: N/A

identifier

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier

Short description

Logical reference, when literal reference is not known

Definition

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.author.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

source

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source

Short description

Sustav koji šalje poruku.

Definition

Sustav koji šalje poruku.

Requirements

Allows replies, supports audit.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.actor
rim: unique(./communicationFunction[typeCode="SND"])

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

name

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.name

Short description

Name of system

Definition

Human-readable name for the source system.

Requirements

May be used to support audit.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSH-3
rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/name[type='ST' and isNormalDatatype()])

software

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.software

Short description

Name of software running the system

Definition

May include configuration or other information useful in debugging.

Requirements

Supports audit and possibly interface engine behavior.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: SFT-3 ( +SFT-1)
rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/softwareName[isNormalDatatype()])

version

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.version

Short description

Version of software running

Definition

Can convey versions of multiple systems in situations where a message passes through multiple hands.

Requirements

Supports audit and possibly interface engine behavior.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: SFT-2
rim: (Not supported)

contact

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.contact

Short description

Human contact for problems

Definition

An e-mail, phone, website or other contact point to use to resolve issues with message communications.

Requirements

Allows escalation of technical issues.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: (MSH-22?)
rim: unique(./entity[determinerCode="INST" and classCode="DEV"]/scopesRole[normalRole() and classCode="CON" and layer[classCode="PSN"]/telecom[isNormalDatatype()])

endpoint

1..1

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.source.endpoint

Short description

Actual message source address or id

Definition

AID sustava koji šalje poruku.

Requirements

Identifies where to send responses, may influence security permissions.

Comments

The id may be a non-resolvable URI for systems that do not use standard network-based addresses.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSH-24
rim: ./telecom[isNormalDatatype()]

responsible

S Σ

0..1

Reference(Practitioner | PractitionerRole | Organization)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.responsible

Short description

Final responsibility for event

Definition

The person or organization that accepts overall responsibility for the contents of the message. The implication is that the message event happened under the policies of the responsible party.

Requirements

Required if known

Comments

Usually only for the request but can be used in a response.

Data type

Reference(Practitioner | PractitionerRole | Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.witness
v2: ORC-12 / PRT-5:PRT-4='OP' / PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11
rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="RESP" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/player[isNormalEntity() and classCode="PSN" and determinerCode="INST"] or ./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode="RESP" and isNormalParticipation]/role[classCode="ASSIGNED" and isNormalRole()]/scoper[isNormalEntity() and classCode="ORG" and determinerCode="INST"])

reason

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.reason

Short description

Cause of event

Definition

Coded indication of the cause for the event - indicates a reason for the occurrence of the event that is a focus of this message.

Requirements

Need to be able to track why resources are being changed and report in the audit log/history of the resource. May affect authorization.

Data type

ExampleMessageReasonCodes (example)

Binding

Reason for event occurrence.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.why[x]
v2: EVN.4 / ORC.16 / OBR-31-reason for study / BPO-13-BP indication for use / RXO-20-indication / RXE-27-give indication / RXD-21-indication / RXG-22-indication / RXA-19-indication
rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/reasonCode[isNormalDatatype()])

response

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response

Short description

If this is a reply to prior message

Definition

Information about the message that this message is a response to. Only present if this message is a response.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSA
rim: ./conveyedAcknowledgement

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response.identifier

Short description

Id of original message

Definition

The MessageHeader.id of the message to which this message is a response.

Requirements

Allows receiver to know what message is being responded to.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSA-2
rim: ./acknowledges.id[isNormalDatatype()]

code

1..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response.code

Short description

ok | transient-error | fatal-error

Definition

Code that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not.

Requirements

Allows the sender of the acknowledge message to know if the request was successful or if action is needed.

Comments

This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus.

Data type

Reference(OperationOutcome)

Binding

The kind of response to a message.

ResponseType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: MSA-1
rim: ./typeCode[isNormalDatatype()]

details

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.response.details

Short description

Specific list of hints/warnings/errors

Definition

Full details of any issues found in the message.

Requirements

Allows the sender of the message to determine what the specific issues are.

Comments

This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.

Data type

Reference(OperationOutcome)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: ERR
rim: AcknowledgementDetail or Observation[classCode="ALRT" and moodCode="EVN"]

focus

1..1

Reference()

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.focus

Short description

The actual content of the message

Definition

The actual data of the message - a reference to the root/focus class of the event.

Requirements

Every message event is about actual data, a single resource, that is identified in the definition of the event, and perhaps some or all linked resources.

Comments

The data is defined where the transaction type is defined. The transaction data is always included in the bundle that is the full message. Only the root resource is specified. The resources it references should be contained in the bundle but are not also listed here. Multiple repetitions are allowed to cater for merges and other situations with multiple focal targets.

Data type

Reference()

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: unique(./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/participation[typeCode="SUBJ" and isNormalParticipation]/role or ./controlAct[classCode="CACT" and classCode="EVN" and isNormalAct()]/outboundRelationship[typeCode="SBJ" and isNormalActRelatoinship]/target)

definition

0..1

canonical(MessageDefinition)Pattern

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.resource.definition

Short description

Link to the definition for this message

Definition

Permanent link to the MessageDefinition for this message.

Requirements

Allows sender to define the expected contents of the message.

Data type

canonical(MessageDefinition)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

https://profiles.ihe.net/ITI/PMIR/StructureDefintion/IHE.PMIR.MessageDefinition

Mappings

rim: Not directly supported.

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.search

Short description

Search related information

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

request

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.request

Short description

Additional execution information (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

response

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRMessageHeaderEntry.response

Short description

Results of execution (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

PMIRBundleHistoryEntry

Σ C

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

link

0..*

see (link)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.link

Short description

Links related to this entry

Definition

A series of links that provide context to this entry.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

fullUrl

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.fullUrl

Short description

URI for resource (Absolute URL server address or URI for UUID/OID)

Definition

fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
Results from operations might involve resources that are not identified.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

resource

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource

Short description

Contains a collection of resources

Definition

A container for a collection of resources.

Data type

Constraints

bdl-1: total only when a search or history
total.empty() or (type = 'searchset') or (type = 'history')
bdl-2: entry.search only when a search
entry.search.empty() or (type = 'searchset')
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-9: A document must have an identifier with a system and a value
type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10: A document must have a date
type = 'document' implies (timestamp.hasValue())
bdl-11: A document must have a Composition as the first resource
type = 'document' implies entry.first().resource.is(Composition)
bdl-12: A message must have a MessageHeader as the first resource
type = 'message' implies entry.first().resource.is(MessageHeader)

Mappings

rim: Entity. Role, or Act
v2: N/A
rim: N/A
cda: ClinicalDocument, if bundle.type = document

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.id

Short description

Logical id of this artifact

Definition

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

Comments

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

Data type

meta

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.meta

Short description

Metadata about the resource

Definition

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

identifier

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.identifier

Short description

Persistent identifier for the bundle

Definition

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

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
cda: ClinicalDocument.id

type

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.type

Short description

Definition

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

Comments

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

Data type

Binding

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

BundleType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

history

Mappings

w5: FiveWs.class

timestamp

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.timestamp

Short description

When the bundle was assembled

Definition

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

Comments

Usage:

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

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.init
cda: ClinicalDocument.effectiveTime

total

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.total

Short description

If search, the total number of matches

Definition

Comments

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

link

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.link

Short description

Links related to this Bundle

Definition

A series of links that provide context to this bundle.

Comments

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

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

entry

Σ C

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Slicing

Unordered, Closed, by request.method(Value)

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

(All Slices)

The requirements in this element apply to all slices

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

link

0..*

see (link)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.link

Short description

Links related to this entry

Definition

A series of links that provide context to this entry.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

fullUrl

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.fullUrl

Short description

URI for resource (Absolute URL server address or URI for UUID/OID)

Definition

fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
Results from operations might involve resources that are not identified.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

resource

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.resource

Short description

A resource in the bundle

Definition

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

Data type

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.search

Short description

Search related information

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.search.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.search.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.search.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

mode

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.search.mode

Short description

match | include | outcome - why this is in the result set

Definition

Why this 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.

Comments

There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.

Data type

Binding

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.

SearchEntryMode (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

score

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.search.score

Short description

Search ranking (between 0 and 1)

Definition

When searching, the server's search ranking score for the entry.

Comments

Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.

See Patient Match for the EMPI search which relates to this element.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

request

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request

Short description

Additional execution information (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

method

1..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.method

Short description

Definition

In a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.

Data type

Binding

HTTP verbs (in the HTTP command line). See HTTP rfc for details.

HTTPVerb (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

url

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.url

Short description

URL for HTTP equivalent of this entry

Definition

The URL for this entry, relative to the root (the address to which the request is posted).

Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifNoneMatch

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.ifNoneMatch

Short description

For managing cache currency

Definition

If the ETag values match, return a 304 Not Modified status. See the API documentation for "Conditional Read".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifModifiedSince

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.ifModifiedSince

Short description

For managing cache currency

Definition

Only perform the operation if the last updated date matches. See the API documentation for "Conditional Read".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifMatch

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.ifMatch

Short description

For managing update contention

Definition

Only perform the operation if the Etag value matches. For more information, see the API section "Managing Resource Contention".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifNoneExist

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.request.ifNoneExist

Short description

For conditional creates

Definition

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

response

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response

Short description

Results of execution (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

status

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.status

Short description

Status response code (text optional)

Definition

The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

location

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.location

Short description

The location (if the operation returns a location)

Definition

The location header created by processing this operation, populated if the operation returns a location.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

etag

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.etag

Short description

The Etag for the resource (if relevant)

Definition

The Etag for the resource, if the operation for the entry produced a versioned resource (see Resource Metadata and Versioning and Managing Resource Contention).

Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastModified

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.lastModified

Short description

Server's date time modified

Definition

The date/time that the resource was modified on the server.

Comments

This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

outcome

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry.response.outcome

Short description

OperationOutcome with hints and warnings (for batch/transaction)

Definition

An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.

Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

Data type

PMIREntryCreate

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryCreate

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

PMIREntryUpdate

Σ C

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

link

0..*

see (link)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.link

Short description

Links related to this entry

Definition

A series of links that provide context to this entry.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

fullUrl

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.fullUrl

Short description

URI for resource (Absolute URL server address or URI for UUID/OID)

Definition

fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
Results from operations might involve resources that are not identified.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

resource

1..1

Patient

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource

Short description

A resource in the bundle

Definition

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

Data type

Patient

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.id

Short description

Logical id of this artifact

Definition

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

Comments

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

Data type

meta

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.meta

Short description

Metadata about the resource

Definition

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

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Mappings

rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

2..3

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier

Short description

An identifier for this patient

Definition

An identifier for this patient.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

Slicing

Unordered, Closed, by system(Value)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id

europskaKartica

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica

Short description

An identifier for this patient

Definition

An identifier for this patient.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://fhir.cezih.hr/specifikacije/identifikatori/europska-kartica

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.value

Short description

Broj EU kartice.

Definition

Broj EU kartice, mora sadržavati 20 znakova.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:europskaKartica.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

putovnica

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica

Short description

An identifier for this patient

Definition

An identifier for this patient.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://fhir.cezih.hr/specifikacije/identifikatori/putovnica

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.value

Short description

Broj putovnice.

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:putovnica.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

jedinstveniIdentifikatorPacijenta

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta

Short description

An identifier for this patient

Definition

An identifier for this patient.

Requirements

Patients are almost always assigned specific numerical identifiers.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.identifier
v2: PID-3
rim: id
cda: .id

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://fhir.cezih.hr/specifikacije/identifikatori/jedinstveni-identifikator-pacijenta

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.identifier:jedinstveniIdentifikatorPacijenta.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

active

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.active

Short description

Whether this patient's record is in active use

Definition

Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

Requirements

Need to be able to mark a patient record as not to be used because it was created in error.

Comments

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Meaning when missing

This resource is generally assumed to be active if no value is provided for the active element

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.status
rim: statusCode
cda: n/a

name

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.name

Short description

A name associated with the patient

Definition

A name associated with the individual.

Requirements

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Comments

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-5, PID-9
rim: name
cda: .patient.name

telecom

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.telecom

Short description

A contact detail for the individual

Definition

A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-13, PID-14, PID-40
rim: telecom
cda: .telecom

gender

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.gender

Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

Requirements

Needed for identification of the individual, in combination with (at least) name and birth date.

Comments

The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

Data type

AdministrativeGender (required)

Binding

The gender of a person used for administrative purposes.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-8
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
cda: .patient.administrativeGenderCode

birthDate

0..1

date

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.birthDate

Short description

The date of birth for the individual

Definition

The date of birth for the individual.

Requirements

Age of the individual drives many clinical processes.

Comments

At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

Data type

date

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-7
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
cda: .patient.birthTime
loinc: 21112-8

deceased[x]

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.deceased[x]

Short description

Indicates if the individual is deceased or not

Definition

Indicates if the individual is deceased or not.

Requirements

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

Comments

If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-30 (bool) and PID-29 (datetime)
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
cda: n/a

deceasedBoolean

There are no (further) constraints on this element

Data type

deceasedDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

address

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address

Short description

An address for the individual

Definition

An address for the individual.

Requirements

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Comments

Patient may have multiple addresses with different uses or applicable periods.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-11
rim: addr
cda: .addr

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.use

Short description

home | work | temp | old | billing - purpose of this address

Definition

The purpose of this address.

Requirements

Allows an appropriate address to be chosen from a list of many.

Comments

Applications can assume that an address is current unless it explicitly says that it is temporary or old.

Data type

Binding

The use of an address.

AddressUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

home

Mappings

v2: XAD.7
rim: unique(./use)
servd: ./AddressPurpose

type

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.type

Short description

postal | physical | both

Definition

Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.

Comments

The definition of Address states that "address is intended to describe postal addresses, not physical locations". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the Location resource).

Data type

Binding

The type of an address (physical / postal).

AddressType (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

both

Mappings

v2: XAD.18
rim: unique(./use)
vcard: address type parameter

text

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.text

Short description

Text representation of the address

Definition

Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.

Requirements

A renderable, unencoded form.

Comments

Can provide both a text representation and parts. Applications updating an address SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street, Erewhon 9132

Mappings

v2: XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
rim: ./formatted
vcard: address label parameter

line

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.line

Short description

Street name, number, direction & P.O. Box etc.

Definition

This component contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

137 Nowhere Street

Mappings

v2: XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
rim: AD.part[parttype = AL]
vcard: street
servd: ./StreetAddress (newline delimitted)

city

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.city

Short description

Name of city, town etc.

Alternate names

Municpality

Definition

The name of the city, town, suburb, village or other community or delivery center.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Erewhon

Mappings

v2: XAD.3
rim: AD.part[parttype = CTY]
vcard: locality
servd: ./Jurisdiction

district

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.district

Short description

District name (aka county)

Alternate names

County

Definition

The name of the administrative area (county).

Comments

District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Madison

Mappings

v2: XAD.9
rim: AD.part[parttype = CNT | CPA]

state

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.state

Short description

Sub-unit of country (abbreviations ok)

Alternate names

Province, Territory

Definition

Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (e.g. US 2 letter state codes).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XAD.4
rim: AD.part[parttype = STA]
vcard: region
servd: ./Region

postalCode

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.postalCode

Short description

Postal code for area

Alternate names

Zip

Definition

A postal code designating a region defined by the postal service.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: XAD.5
rim: AD.part[parttype = ZIP]
vcard: code
servd: ./PostalIdentificationCode

country

1..1

stringBinding

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.country

Short description

Country (e.g. can be ISO 3166 2 or 3 letter code)

Definition

Country - a nation as commonly understood or generally accepted.

Comments

ISO 3166 3 letter codes can be used in place of a human readable country name.

Data type

Binding

Drzave (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: XAD.6
rim: AD.part[parttype = CNT]
vcard: country
servd: ./Country

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.address.period

Short description

Time period when address was/is in use

Definition

Time period when address was/is in use.

Requirements

Allows addresses to be placed in historical context.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

{
  "start": "2010-03-23",
  "end": "2010-07-01"
}

Mappings

v2: XAD.12 / XAD.13 + XAD.14
rim: ./usablePeriod[type="IVL<TS>"]
servd: ./StartDate and ./EndDate

maritalStatus

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.maritalStatus

Short description

Marital (civil) status of a patient

Definition

This field contains a patient's most recent marital (civil) status.

Requirements

Most, if not all systems capture it.

Data type

Marital Status Codes (extensible)

Binding

The domestic partnership status of a person.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-16
rim: player[classCode=PSN]/maritalStatusCode
cda: .patient.maritalStatusCode

multipleBirth[x]

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.multipleBirth[x]

Short description

Whether patient is part of a multiple birth

Definition

Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

Requirements

For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

Comments

Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-24 (bool), PID-25 (integer)
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
cda: n/a

multipleBirthBoolean

There are no (further) constraints on this element

Data type

multipleBirthInteger

integer

There are no (further) constraints on this element

Data type

integer

photo

0..*

Attachment

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.photo

Short description

Image of the patient

Definition

Image of the patient.

Requirements

Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

Comments

Guidelines:

Use id photos, not clinical photos.
Limit dimensions to thumbnail.
Keep byte count low to ease resource updates.

Data type

Attachment

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX-5 - needs a profile
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
cda: n/a

contact

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact

Short description

A contact party (e.g. guardian, partner, friend) for the patient

Definition

A contact party (e.g. guardian, partner, friend) for the patient.

Requirements

Need to track people you can contact about the patient.

Comments

Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
pat-1: SHALL at least contain a contact's details or a reference to an organization
name.exists() or telecom.exists() or address.exists() or organization.exists()

Mappings

rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
cda: n/a

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

relationship

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.relationship

Short description

The kind of relationship

Definition

The nature of the relationship between the patient and the contact person.

Requirements

Used to determine which contact person is the most relevant to approach, depending on circumstances.

Data type

PatientContactRelationship (extensible)

Binding

The nature of the relationship between a patient and a contact person for that patient.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-7, NK1-3
rim: code
cda: n/a

name

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.name

Short description

A name associated with the contact person

Definition

A name associated with the contact person.

Requirements

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-2
rim: name
cda: n/a

telecom

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.telecom

Short description

A contact detail for the person

Definition

A contact detail for the person, e.g. a telephone number or an email address.

Requirements

People have (primary) ways to contact them in some way such as phone, email.

Comments

Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-5, NK1-6, NK1-40
rim: telecom
cda: n/a

address

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.address

Short description

Address for the contact person

Definition

Address for the contact person.

Requirements

Need to keep track where the contact person can be contacted per postal mail or visited.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-4
rim: addr
cda: n/a

gender

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.gender

Short description

male | female | other | unknown

Definition

Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

Requirements

Needed to address the person correctly.

Data type

AdministrativeGender (required)

Binding

The gender of a person used for administrative purposes.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-15
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
cda: n/a

organization

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.organization

Short description

Organization that is associated with the contact

Definition

Organization on behalf of which the contact is acting or for which the contact is working.

Requirements

For guardians or business related contacts, the organization is relevant.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: pat-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: NK1-13, NK1-30, NK1-31, NK1-32, NK1-41
rim: scoper
cda: n/a

period

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.contact.period

Short description

The period during which this contact person or organization is valid to be contacted relating to this patient

Definition

The period during which this contact person or organization is valid to be contacted relating to this patient.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: effectiveTime
cda: n/a

communication

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.communication

Short description

A language which may be used to communicate with the patient about his or her health

Definition

A language which may be used to communicate with the patient about his or her health.

Requirements

If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

Comments

If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: LanguageCommunication
cda: patient.languageCommunication

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.communication.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.communication.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.communication.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

language

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.communication.language

Short description

The language which can be used to communicate with the patient about his or her health

Definition

The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

Requirements

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Comments

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Data type

Binding

A human language.

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-15, LAN-2
rim: player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
cda: .languageCode

preferred

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.communication.preferred

Short description

Language preference indicator

Definition

Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

Requirements

People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

Comments

This language is specifically identified for communicating healthcare information.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PID-15
rim: preferenceInd
cda: .preferenceInd

generalPractitioner

0..*

Reference(Organization | Practitioner | PractitionerRole)

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.generalPractitioner

Short description

Patient's nominated primary care provider

Alternate names

careProvider

Definition

Patient's nominated care provider.

Comments

This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

Data type

Reference(Organization | Practitioner | PractitionerRole)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: PD1-4
rim: subjectOf.CareEvent.performer.AssignedEntity
cda: n/a

managingOrganization

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.managingOrganization

Short description

Organization that is the custodian of the patient record

Definition

Organization that is the custodian of the patient record.

Requirements

Need to know who recognizes this patient record, manages and updates it.

Comments

There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: scoper
cda: .providerOrganization

link

Σ ?!

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.resource.link

Short description

Link to another patient resource that concerns the same actual person

Definition

Link to another patient resource that concerns the same actual patient.

Requirements

There are multiple use cases:

Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
Distribution of patient information across multiple servers.

Comments

There is no assumption that linked patient records have mutual links.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundLink
cda: n/a

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.search

Short description

Search related information

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

request

Σ C

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request

Short description

Additional execution information (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

method

1..1

codeBindingPattern

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.method

Short description

Definition

In a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.

Data type

Binding

HTTP verbs (in the HTTP command line). See HTTP rfc for details.

HTTPVerb (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

PUT

url

1..1

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.url

Short description

URL resursa pacijenta koji se ažurira

Definition

URL resursa pacijenta koji se ažurira, mora biti oblika Patient/123456 gdje je 123456 id Patient resursa kako ga je zapisao FHIR server. Sustav prije registracije pacijenta mora dohvatiti Patient koji želi ažurirati korištenjem PDQm profila (e.g. GET https://server.example.com/fhir/Patient?identifier=http://fhir.cezih.hr/specifikacije/identifikatori/europska-kartica|1234567890).

Comments

E.g. for a Patient Create, the method would be "POST" and the URL would be "Patient". For a Patient Update, the method would be PUT and the URL would be "Patient/[id]".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifNoneMatch

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.ifNoneMatch

Short description

For managing cache currency

Definition

If the ETag values match, return a 304 Not Modified status. See the API documentation for "Conditional Read".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifModifiedSince

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.ifModifiedSince

Short description

For managing cache currency

Definition

Only perform the operation if the last updated date matches. See the API documentation for "Conditional Read".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifMatch

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.ifMatch

Short description

For managing update contention

Definition

Only perform the operation if the Etag value matches. For more information, see the API section "Managing Resource Contention".

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

ifNoneExist

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.request.ifNoneExist

Short description

For conditional creates

Definition

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

response

Σ C

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response

Short description

Results of execution (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

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

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

status

1..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.status

Short description

Status response code (text optional)

Definition

The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

location

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.location

Short description

The location (if the operation returns a location)

Definition

The location header created by processing this operation, populated if the operation returns a location.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

etag

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.etag

Short description

The Etag for the resource (if relevant)

Definition

The Etag for the resource, if the operation for the entry produced a versioned resource (see Resource Metadata and Versioning and Managing Resource Contention).

Comments

Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

lastModified

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.lastModified

Short description

Server's date time modified

Definition

The date/time that the resource was modified on the server.

Comments

This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

outcome

0..1

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryUpdate.response.outcome

Short description

OperationOutcome with hints and warnings (for batch/transaction)

Definition

An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.

Comments

For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.

Data type

PMIREntryDelete

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.entry:PMIREntryDelete

Short description

Entry in the bundle - will have a resource or information

Definition

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

Data type

Constraints

bdl-5: must be a resource unless there's a request or response
resource.exists() or request.exists() or response.exists()
bdl-8: fullUrl cannot be a version specific reference
fullUrl.contains('/_history/').not()
ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

signature

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.resource.signature

Short description

Digital Signature

Definition

Digital Signature - base64 encoded. XML-DSig or a JWT.

Requirements

A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

Comments

The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.search

Short description

Search related information

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-2

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

request

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.request

Short description

Additional execution information (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

response

Σ C

0..0

There are no (further) constraints on this element

Element id

Bundle.entry:PMIRBundleHistoryEntry.response

Short description

Results of execution (transaction/batch/history)

Definition

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

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: bdl-4

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

signature

1..1

There are no (further) constraints on this element

Element id

Bundle.signature

Short description

Digital Signature

Definition

Digital Signature - base64 encoded. XML-DSig or a JWT.

Requirements

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.signature.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

SignatureTypeCodes (preferred)

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

type

1..*

CodingBindingFixed Value

Element id

Bundle.signature.type

Short description

Definira vrstu digitalnog potpisa

Definition

Definira da je potpisnik poruke autor.

Comments

Examples include attesting to: authorship, correct transcription, and witness of specific event. Also known as a "Commitment Type Indication".

Data type

Coding

Binding

An indication of the reason that an entity signed the object.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

{
  "system": "urn:iso-astm:E1762-95:2013",
  "code": "1.2.840.10065.1.12.1.1"
}

when

1..1

Element id

Bundle.signature.when

Short description

Vrijeme kreiranja digitalnog potpisa poruke

Definition

When the digital signature was signed.

Comments

This should agree with the information in the signature.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

who

1..1

Element id

Bundle.signature.who

Short description

Referenca na potpisnika poruke

Definition

Potpisnik poruke je jednak autoru poruke navedenom u MessageHeader.author atributu. Koristi se logička referenca (identifikator-MBO)

Comments

This should agree with the information in the signature.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.who.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.signature.who.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

reference

Σ C

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.who.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

type

1..1

uriBindingFixed Value

Element id

Bundle.signature.who.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Comments

Data type

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

Practitioner

Mappings

rim: N/A

identifier

1..1

Element id

Bundle.signature.who.identifier

Short description

Logička referenca

Definition

Identifikator zdravstvenog djelatnika, potpisnika poruke. Koristi se HZJZ šifra djelatnika.

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .identifier

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.who.identifier.id

Short description

Unique id for inter-element referencing

Definition

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

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Bundle.signature.who.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Bundle.signature.who.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Bundle.signature.who.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

Bundle.signature.who.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://fhir.cezih.hr/specifikacije/identifikatori/HZJZ-broj-zdravstvenog-djelatnika

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

Element id

Bundle.signature.who.identifier.value

Short description

MBO

Definition

MBO zdravstvenog djelatnika, potpisnika poruke.

Comments

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.who.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.who.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

There are no (further) constraints on this element

Element id

Bundle.signature.who.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: N/A

onBehalfOf

0..0

There are no (further) constraints on this element

Element id

Bundle.signature.onBehalfOf

Short description

The party represented

Definition

A reference to an application-usable description of the identity that is represented by the signature.

Requirements

used when the signature is on behalf of a non-signer.

Comments

The party that can't sign. For example a child.

Data type

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

targetFormat

0..0

codeBinding

There are no (further) constraints on this element

Element id

Bundle.signature.targetFormat

Short description

The technical format of the signed resources

Definition

A mime type that indicates the technical format of the target resources signed by the signature.

Comments

"xml", "json" and "ttl" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.

Data type

Binding

The mime type of an attachment. Any valid mime type is allowed.

Mime Types (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

sigFormat

0..0

codeBinding

There are no (further) constraints on this element

Element id

Bundle.signature.sigFormat

Short description

The technical format of the signature

Definition

A mime type that indicates the technical format of the signature. Important mime types are application/signature+xml for X ML DigSig, application/jose for JWS, and image/* for a graphical image of a signature, etc.

Data type