Implementierungsleitfaden ISiK-Subscriptions

BackportSubscriptionNotificationR4Fixed (Bundle)

BackportSubscriptionNotificationR4Fixed (Bundle)

R4 Topic-Based Subscription Notification Bundle

Profil auf der FHIR-R4-Resource Bundle, um R5-ähnliche, themenbasierte Subscription-Benachrichtigungen in FHIR R4 zu ermöglichen.

Dieses Profil ist funktional identisch mit http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription-notification-r4.
Die Version 1.1.0 des offiziellen Profils enthält jedoch technische Fehler. Daher wurde dieses Profil lokal als temporärer Workaround nachgebildet. Es wird durch das offizielle backport-subscription-notification-r4 Profil ersetzt, sobald eine korrigierte Version veröffentlicht wurde.

Bestätigungsrelevanz

Verbindlichkeit	SHALL

Metadaten

Canonical	https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionNotificationR4Fixed
Status	active
Version	1.1.0
Basis	http://hl7.org/fhir/StructureDefinition/Bundle

Inhalt

BackportSubscriptionNotificationR4Fixed (Bundle)	I		Bundle	Element id Bundle Short description Contains a collection of resources Definition A container for a collection of resources. Data type Bundle 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)` backport-notification-bundle-r4-1: A notification bundle MUST have a Parameters as the first entry `(entry.first().resource.is(Parameters))` Mappings rim: Entity. Role, or Act v2: N/A rim: N/A cda: ClinicalDocument, if bundle.type = document
id	Σ	0..1	string	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 string
meta	Σ	0..1	Meta	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 Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	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 uri 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 code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
identifier	Σ	0..1	Identifier	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 Identifier 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	Σ	1..1	codeBindingPattern	Element id Bundle.type Short description document \| message \| transaction \| transaction-response \| batch \| batch-response \| history \| searchset \| collection 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 code 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	Σ	0..1	instant	There are no (further) constraints on this element Element id Bundle.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 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 instant 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 I	0..1	unsignedInt	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 unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
link	Σ	0..*	BackboneElement	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 BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Bundle.link.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 string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.link.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 Extension 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 ?! I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.link.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 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 Extension 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
relation	Σ	1..1	string	There are no (further) constraints on this element Element id Bundle.link.relation Short description See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 Definition A name which details the functional use for this link - see http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
url	Σ	1..1	uri	There are no (further) constraints on this element Element id Bundle.link.url Short description Reference details for the link Definition The reference details for the link. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
entry	Σ I	1..*	BackboneElement	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 BackboneElement Sliced: Unordered, Open, by resource(Type) Slice based on resource 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)				There are no (further) constraints on this element
id		0..1	string	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 string Mappings rim: n/a
extension	I	0..*	Extension	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 Extension 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 ?! I	0..*	Extension	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 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 Extension 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	Σ	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	Σ	0..1	uri	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 uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
resource	Σ	0..1	Resource	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 Resource
search	Σ I	0..1	BackboneElement	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 BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	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 string Mappings rim: n/a
extension	I	0..*	Extension	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 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 Extension 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 ?! I	0..*	Extension	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 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 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 Extension 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	Σ	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 code 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	Σ	0..1	decimal	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 decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
request	Σ I	0..1	BackboneElement	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 BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	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 string Mappings rim: n/a
extension	I	0..*	Extension	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 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 Extension 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 ?! I	0..*	Extension	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 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 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 Extension 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	Σ	1..1	codeBinding	There are no (further) constraints on this element Element id Bundle.entry.request.method Short description GET \| HEAD \| POST \| PUT \| DELETE \| PATCH 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 code 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	Σ	1..1	uri	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 uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifNoneMatch	Σ	0..1	string	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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifModifiedSince	Σ	0..1	instant	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 instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifMatch	Σ	0..1	string	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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifNoneExist	Σ	0..1	string	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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
response	Σ I	0..1	BackboneElement	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 BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	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 string Mappings rim: n/a
extension	I	0..*	Extension	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 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 Extension 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 ?! I	0..*	Extension	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 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 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 Extension 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	Σ	1..1	string	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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
location	Σ	0..1	uri	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 uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
etag	Σ	0..1	string	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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastModified	Σ	0..1	instant	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 instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
outcome	Σ	0..1	Resource	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 Resource
subscriptionStatus	S Σ I	1..1	BackboneElement	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus 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 BackboneElement 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())`
id		0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 Extension 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 ?! I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 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 Extension 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	Σ	0..*	see (link)	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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	Σ	0..1	uri	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
resource	S	1..1	BackportSubscriptionStatusR4Fixed	Element id Bundle.entry:subscriptionStatus.resource Short description Parameter containing subscription status information Definition This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it. Comments The parameters that may be used are defined by the OperationDefinition resource. Data type BackportSubscriptionStatusR4Fixed Mappings rim: Entity. Role, or Act v2: n/a rim: n/a
search	Σ I	0..1	BackboneElement	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.search Short description Search related information Definition Information about the search process that lead to the creation of this entry. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.search.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 Extension 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 ?! I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.search.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 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 Extension 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	Σ	0..1	codeBinding	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 code 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	Σ	0..1	decimal	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 decimal Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
request	Σ I	0..1	BackboneElement	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.request.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 Extension 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 ?! I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.request.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 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 Extension 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	Σ	1..1	codeBinding	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.request.method Short description GET \| HEAD \| POST \| PUT \| DELETE \| PATCH 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 code 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	Σ	1..1	uri	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifNoneMatch	Σ	0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifModifiedSince	Σ	0..1	instant	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifMatch	Σ	0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
ifNoneExist	Σ	0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
response	Σ I	0..1	BackboneElement	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.response.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 Extension 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 ?! I	0..*	Extension	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.response.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 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 Extension 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	Σ	1..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
location	Σ	0..1	uri	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
etag	Σ	0..1	string	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
lastModified	Σ	0..1	instant	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
outcome	Σ	0..1	Resource	There are no (further) constraints on this element Element id Bundle.entry:subscriptionStatus.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 Resource
signature	Σ	0..1	Signature	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 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 Signature Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="BackportSubscriptionNotificationR4Fixed" />
    <url value="https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionNotificationR4Fixed" />
    <version value="1.1.0" />
    <name value="BackportSubscriptionNotificationR4Fixed" />
    <title value="R4 Topic-Based Subscription Notification Bundle" />
    <status value="active" />
    <experimental value="false" />
    <date value="2023-01-11T15:35:36+11:00" />
    <publisher value="gematik GmbH" />
    <contact>
        <name value="HL7 FHIR Infrastructure WG" />
        <telecom>
            <system value="url" />
            <value value="https://hl7.org/Special/committees/fiwg" />
        </telecom>
    </contact>
    <contact>
        <name value="Gino Canessa" />
        <telecom>
            <system value="email" />
            <value value="mailto:gino.canessa@microsoft.com" />
        </telecom>
    </contact>
    <contact>
        <name value="Eric Haas" />
        <telecom>
            <system value="email" />
            <value value="mailto:ehaas@healthedatainc.com" />
        </telecom>
    </contact>
    <description value="Profil auf der FHIR-R4-Resource Bundle, um R5-&#228;hnliche, themenbasierte Subscription-Benachrichtigungen in FHIR R4 zu erm&#246;glichen.\n\nDieses Profil ist funktional identisch mit `http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription-notification-r4`.  \nDie Version 1.1.0 des offiziellen Profils enth&#228;lt jedoch technische Fehler. Daher wurde dieses Profil lokal als tempor&#228;rer Workaround nachgebildet.\nEs wird durch das offizielle `backport-subscription-notification-r4` Profil ersetzt, sobald eine korrigierte Version ver&#246;ffentlicht wurde." />
    <jurisdiction>
        <coding>
            <system value="http://unstats.un.org/unsd/methods/m49/m49.htm" />
            <code value="001" />
            <display value="World" />
        </coding>
    </jurisdiction>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Bundle" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Bundle" />
    <derivation value="constraint" />
    <differential>
        <element id="Bundle">
            <path value="Bundle" />
            <constraint>
                <key value="backport-notification-bundle-r4-1" />
                <severity value="error" />
                <human value="A notification bundle MUST have a Parameters as the first entry" />
                <expression value="(entry.first().resource.is(Parameters))" />
                <source value="https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionNotificationR4Fixed" />
            </constraint>
        </element>
        <element id="Bundle.type">
            <path value="Bundle.type" />
            <patternCode value="history" />
        </element>
        <element id="Bundle.entry">
            <path value="Bundle.entry" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="resource" />
                </discriminator>
                <description value="Slice based on resource" />
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <min value="1" />
        </element>
        <element id="Bundle.entry:subscriptionStatus">
            <path value="Bundle.entry" />
            <sliceName value="subscriptionStatus" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Bundle.entry:subscriptionStatus.resource">
            <path value="Bundle.entry.resource" />
            <min value="1" />
            <type>
                <code value="Parameters" />
                <profile value="https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionStatusR4Fixed" />
            </type>
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "BackportSubscriptionNotificationR4Fixed",
    "url": "https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionNotificationR4Fixed",
    "version": "1.1.0",
    "name": "BackportSubscriptionNotificationR4Fixed",
    "title": "R4 Topic-Based Subscription Notification Bundle",
    "status": "active",
    "experimental": false,
    "date": "01/11/2023 04:35:36",
    "publisher": "gematik GmbH",
    "contact":  [
        {
            "name": "HL7 FHIR Infrastructure WG",
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://hl7.org/Special/committees/fiwg"
                }
            ]
        },
        {
            "name": "Gino Canessa",
            "telecom":  [
                {
                    "system": "email",
                    "value": "mailto:gino.canessa@microsoft.com"
                }
            ]
        },
        {
            "name": "Eric Haas",
            "telecom":  [
                {
                    "system": "email",
                    "value": "mailto:ehaas@healthedatainc.com"
                }
            ]
        }
    ],
    "description": "Profil auf der FHIR-R4-Resource Bundle, um R5-ähnliche, themenbasierte Subscription-Benachrichtigungen in FHIR R4 zu ermöglichen.\n\nDieses Profil ist funktional identisch mit `http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription-notification-r4`.  \nDie Version 1.1.0 des offiziellen Profils enthält jedoch technische Fehler. Daher wurde dieses Profil lokal als temporärer Workaround nachgebildet.\nEs wird durch das offizielle `backport-subscription-notification-r4` Profil ersetzt, sobald eine korrigierte Version veröffentlicht wurde.",
    "jurisdiction":  [
        {
            "coding":  [
                {
                    "code": "001",
                    "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
                    "display": "World"
                }
            ]
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Bundle",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Bundle",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Bundle",
                "path": "Bundle",
                "constraint":  [
                    {
                        "key": "backport-notification-bundle-r4-1",
                        "human": "A notification bundle MUST have a Parameters as the first entry",
                        "source": "https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionNotificationR4Fixed",
                        "severity": "error",
                        "expression": "(entry.first().resource.is(Parameters))"
                    }
                ]
            },
            {
                "id": "Bundle.type",
                "path": "Bundle.type",
                "patternCode": "history"
            },
            {
                "id": "Bundle.entry",
                "path": "Bundle.entry",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "resource"
                        }
                    ],
                    "description": "Slice based on resource",
                    "ordered": false,
                    "rules": "open"
                },
                "min": 1
            },
            {
                "id": "Bundle.entry:subscriptionStatus",
                "path": "Bundle.entry",
                "sliceName": "subscriptionStatus",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "Bundle.entry:subscriptionStatus.resource",
                "path": "Bundle.entry.resource",
                "min": 1,
                "type":  [
                    {
                        "code": "Parameters",
                        "profile":  [
                            "https://gematik.de/fhir/isik/StructureDefinition/BackportSubscriptionStatusR4Fixed"
                        ]
                    }
                ],
                "mustSupport": true
            }
        ]
    }
}

R4 Topic-Based Subscription Notification Bundle

Constraints/Invarianten

Name	Schweregrad	Beschreibung	Ausdruck
backport-notification-bundle-r4-1	error	A notification bundle MUST have a Parameters as the first entry	(entry.first().resource.is(Parameters))

Terminology-Bindings

Anmerkungen zu Must-Support-Feldern

Feldname
Bundle.entry:subscriptionStatus
Bundle.entry:subscriptionStatus.resource

Beispiele

Bundle

id : SubscriptionNotificationBundleExample

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscriptionNotification

type : history

entry

fullUrl : urn:uuid:9bb6fcbd-8391-4e35-bd4c-620a2db47af0

resource

id : ISiKSubscriptionStatusExample

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscriptionStatus

parameter

name : subscription

value

reference : Subscription/1

parameter

name : status

value : active

parameter

name : type

value : event-notification

parameter

name : topic

value : https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge

parameter

name : events-since-subscription-start

value : 1

parameter

name : notification-event

part

name : event-number

value : 1

part

name : timestamp

value : 2024-02-22T18:30:05+01:00

part

name : focus

value

reference : Patient/DorisQuelle

request

method : GET

url : https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge/$status

response

status : 200

entry

fullUrl : http://example.org/fhir/Patient/DorisQuelle

resource

id : DorisQuelle

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient

identifier

type

coding

system : http://terminology.hl7.org/CodeSystem/v2-0203

code : MR

system : https://fhir.krankenhaus.example/sid/PID

value : 654321

identifier

type

coding

system : http://fhir.de/CodeSystem/identifier-type-de-basis

code : KVZ10

system : http://fhir.de/sid/gkv/kvid-10

value : A123456789

active : False

name

use : official

family : Duplikat

given : Doris

gender : female

birthDate : 1964-08-12

request

method : PUT

url : Patient

response

status : 201

<Bundle xmlns="http://hl7.org/fhir">
    <id value="SubscriptionNotificationBundleExample" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscriptionNotification" />
    </meta>
    <type value="history" />
    <entry>
        <fullUrl value="urn:uuid:9bb6fcbd-8391-4e35-bd4c-620a2db47af0" />
        <resource>
            <Parameters>
                <id value="ISiKSubscriptionStatusExample" />
                <meta>
                    <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscriptionStatus" />
                </meta>
                <parameter>
                    <name value="subscription" />
                    <valueReference>
                        <reference value="Subscription/1" />
                    </valueReference>
                </parameter>
                <parameter>
                    <name value="status" />
                    <valueCode value="active" />
                </parameter>
                <parameter>
                    <name value="type" />
                    <valueCode value="event-notification" />
                </parameter>
                <parameter>
                    <name value="topic" />
                    <valueCanonical value="https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge" />
                </parameter>
                <parameter>
                    <name value="events-since-subscription-start" />
                    <valueString value="1" />
                </parameter>
                <parameter>
                    <name value="notification-event" />
                    <part>
                        <name value="event-number" />
                        <valueString value="1" />
                    </part>
                    <part>
                        <name value="timestamp" />
                        <valueInstant value="2024-02-22T18:30:05+01:00" />
                    </part>
                    <part>
                        <name value="focus" />
                        <valueReference>
                            <reference value="Patient/DorisQuelle" />
                        </valueReference>
                    </part>
                </parameter>
            </Parameters>
        </resource>
        <request>
            <method value="GET" />
            <url value="https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge/$status" />
        </request>
        <response>
            <status value="200" />
        </response>
    </entry>
    <entry>
        <fullUrl value="http://example.org/fhir/Patient/DorisQuelle" />
        <resource>
            <Patient>
                <id value="DorisQuelle" />
                <meta>
                    <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient" />
                </meta>
                <identifier>
                    <type>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                            <code value="MR" />
                        </coding>
                    </type>
                    <system value="https://fhir.krankenhaus.example/sid/PID" />
                    <value value="654321" />
                </identifier>
                <identifier>
                    <type>
                        <coding>
                            <system value="http://fhir.de/CodeSystem/identifier-type-de-basis" />
                            <code value="KVZ10" />
                        </coding>
                    </type>
                    <system value="http://fhir.de/sid/gkv/kvid-10" />
                    <value value="A123456789" />
                </identifier>
                <active value="false" />
                <name>
                    <use value="official" />
                    <family value="Duplikat" />
                    <given value="Doris" />
                </name>
                <gender value="female" />
                <birthDate value="1964-08-12" />
            </Patient>
        </resource>
        <request>
            <method value="PUT" />
            <url value="Patient" />
        </request>
        <response>
            <status value="201" />
        </response>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "SubscriptionNotificationBundleExample",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscriptionNotification"
        ]
    },
    "type": "history",
    "entry":  [
        {
            "fullUrl": "urn:uuid:9bb6fcbd-8391-4e35-bd4c-620a2db47af0",
            "resource": {
                "resourceType": "Parameters",
                "id": "ISiKSubscriptionStatusExample",
                "meta": {
                    "profile":  [
                        "https://gematik.de/fhir/isik/StructureDefinition/ISiKSubscriptionStatus"
                    ]
                },
                "parameter":  [
                    {
                        "name": "subscription",
                        "valueReference": {
                            "reference": "Subscription/1"
                        }
                    },
                    {
                        "name": "status",
                        "valueCode": "active"
                    },
                    {
                        "name": "type",
                        "valueCode": "event-notification"
                    },
                    {
                        "name": "topic",
                        "valueCanonical": "https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge"
                    },
                    {
                        "name": "events-since-subscription-start",
                        "valueString": "1"
                    },
                    {
                        "part":  [
                            {
                                "name": "event-number",
                                "valueString": "1"
                            },
                            {
                                "name": "timestamp",
                                "valueInstant": "02/22/2024 17:30:05"
                            },
                            {
                                "name": "focus",
                                "valueReference": {
                                    "reference": "Patient/DorisQuelle"
                                }
                            }
                        ],
                        "name": "notification-event"
                    }
                ]
            },
            "request": {
                "method": "GET",
                "url": "https://gematik.de/fhir/isik/SubscriptionTopic/patient-merge/$status"
            },
            "response": {
                "status": "200"
            }
        },
        {
            "fullUrl": "http://example.org/fhir/Patient/DorisQuelle",
            "resource": {
                "resourceType": "Patient",
                "id": "DorisQuelle",
                "meta": {
                    "profile":  [
                        "https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient"
                    ]
                },
                "identifier":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "code": "MR",
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                                }
                            ]
                        },
                        "system": "https://fhir.krankenhaus.example/sid/PID",
                        "value": "654321"
                    },
                    {
                        "system": "http://fhir.de/sid/gkv/kvid-10",
                        "type": {
                            "coding":  [
                                {
                                    "code": "KVZ10",
                                    "system": "http://fhir.de/CodeSystem/identifier-type-de-basis"
                                }
                            ]
                        },
                        "value": "A123456789"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "Duplikat",
                        "given":  [
                            "Doris"
                        ]
                    }
                ],
                "active": false,
                "gender": "female",
                "birthDate": "1964-08-12"
            },
            "request": {
                "method": "PUT",
                "url": "Patient"
            },
            "response": {
                "status": "201"
            }
        }
    ]
}

SubscriptionNotificationBundleExample