KLChildren implementation guide, an implementation of FBU
2.1.0 - Release

This page is part of the KLChildren (v2.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: KLGatewayChildrenDeliveryReport - Detailed Descriptions

Active as of 2024-10-31

Definitions for the klgateway-children-delivery-report resource profile.

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

0. Bundle
Invariantsgateway-children-report-1: All observation resources shall conform to the observation profiles defined in this IG (entry.select(resource as Observation).all( $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-feeding-observation') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-headcircum') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-bodyheight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-exam-result') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-bodyweight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-social-interaction') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-relationship') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-social-status') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-mental-status') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-social-support-network') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-communication') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-sleep') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-motor-function') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-nutrition') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-physical-activity') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-hearing') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-sight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-passive-smoking') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-nicotine')))
gateway-children-report-parent-mental-state: If there is an encounter of type 'Graviditetsbesøg', 'Besøg hos det ca. 2 måneder gamle barn' delivered face-to-face, then parents mental state should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '2c39af9f-8e45-4c88-962f-e7a9e2cd31b6')).exists())
gateway-children-report-parent-social-status: If there is an encounter of type 'Graviditetsbesøg', 'Etableringsbesøg' delivered face-to-face, then parent-social-status should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '58997614-ba43-4534-90bd-10c7e76802f4')).exists())
gateway-children-report-support-network: If there is an encounter of type 'Graviditetsbesøg', 'Etableringsbesøg' delivered face-to-face, then support network should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '7e7fab2f-278a-4b14-9bc9-efc36fffcba5')).exists())
gateway-children-report-social-interaction: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then social interaction should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '68605f88-49fb-44b9-b327-86947af6aa93')).exists())
gateway-children-report-parent-relationship: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', delivered face-to-face, then parent relationship should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '763c6f21-5467-4713-82fb-716c9d0a1fdf')).exists())
gateway-children-report-weight: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Undersøgelse i mellemtrin, med måling', 'Udskolingsundersøgelse', delivered face-to-face, then weight should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'd01bcb90-2b29-44f4-834c-191d6dd4a08a' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '27113001')).exists())
gateway-children-report-height: If there is an encounter of type 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Undersøgelse i mellemtrin, med måling', 'Udskolingsundersøgelse', delivered face-to-face, then height should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'd01bcb90-2b29-44f4-834c-191d6dd4a08a' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies ( entry.select((resource as Observation).code.coding.where(code = '1153637007')).exists() or entry.select((resource as Observation).code.coding.where(code = '248333004')).exists() or entry.select((resource as Observation).code.coding.where(code = '1149101003')).exists()))
gateway-children-report-head-circumference: If there is an encounter of type 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn' delivered face-to-face, then head circumference should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '363812007')).exists())
gateway-children-report-passive-smoking: If there is an encounter of type 'Etableringsbesøg' delivered face-to-face, then pasive smoking should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '28972d4b-fea3-42ec-b2a5-e2a26f79b14d')).exists())
gateway-children-report-nicotine: If there is an encounter of type 'Udskolingsundersøgelse' delivered face-to-face, then nicotine should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '76891f7b-cf49-4cb2-88d6-728a509eb75d')).exists())
gateway-children-report-nutrition: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then nutrition should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'e61e4dab-54bb-4bf4-9b76-8d991cf4de08')).exists())
gateway-children-report-communication: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then communication should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '653c2b0b-bb64-4906-888b-aea6fef3c3f8')).exists())
gateway-children-report-sleep: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sleep should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '73f981f8-455a-4158-b435-7c6d83ab84da')).exists())
gateway-children-report-motor-function: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sleep should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '73f981f8-455a-4158-b435-7c6d83ab84da')).exists())
gateway-children-report-physical-activity: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then physical activity should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'b331fe02-a781-4abd-b6db-9331d6a69b15')).exists())
gateway-children-report-hearing: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then hearing should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'a22c4b53-b622-4394-ba13-910a7b0d7b0d')).exists())
gateway-children-report-sight: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sight should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '01fddd46-ed7c-423d-b191-ffdd977dd61e')).exists())
2. Bundle.meta
4. Bundle.meta.profile
Short[DK] indberetningsrapportProfil
Control1..1
Pattern Valuehttp://fhir.kl.dk/children/StructureDefinition/klgateway-children-delivery-report
6. Bundle.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
8. Bundle.type
Pattern Valuecollection
10. Bundle.timestamp
Short[DK] indberetningsrapportTid
Control1..?
12. Bundle.total
Control0..0
14. Bundle.link
Control0..0
16. Bundle.entry
Short[DK] indberetningsrapportIndhold
18. Bundle.entry.link
Control0..0
20. Bundle.entry.resource
Control1..?
TypeChoice of: Encounter(KLGatewayChildrenEncounter), Patient(KLGatewayChildrenCitizen), RelatedPerson(KLGatewayChildrenRelatedParent), CarePlan(KLGatewayChildrenIntervention), QuestionnaireResponse(KLGatewayChildrenQuestionnaireResponse), Location(KLGatewayChildrenLocation), Observation, Resource
22. Bundle.entry.search
Control0..0
24. Bundle.entry.request
Control0..0
26. Bundle.entry.response
Control0..0
28. Bundle.signature
Control0..0

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

0. Bundle
Definition

A container for a collection of resources.

ShortContains a collection of resources
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
gateway-children-report-1: All observation resources shall conform to the observation profiles defined in this IG (entry.select(resource as Observation).all( $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-feeding-observation') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-headcircum') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-bodyheight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-exam-result') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-bodyweight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-social-interaction') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-relationship') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-social-status') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-mental-status') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-social-support-network') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-communication') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-sleep') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-motor-function') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-nutrition') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-physical-activity') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-hearing') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-sight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-passive-smoking') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-nicotine')))
gateway-children-report-parent-mental-state: If there is an encounter of type 'Graviditetsbesøg', 'Besøg hos det ca. 2 måneder gamle barn' delivered face-to-face, then parents mental state should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '2c39af9f-8e45-4c88-962f-e7a9e2cd31b6')).exists())
gateway-children-report-parent-social-status: If there is an encounter of type 'Graviditetsbesøg', 'Etableringsbesøg' delivered face-to-face, then parent-social-status should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '58997614-ba43-4534-90bd-10c7e76802f4')).exists())
gateway-children-report-support-network: If there is an encounter of type 'Graviditetsbesøg', 'Etableringsbesøg' delivered face-to-face, then support network should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '7e7fab2f-278a-4b14-9bc9-efc36fffcba5')).exists())
gateway-children-report-social-interaction: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then social interaction should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '68605f88-49fb-44b9-b327-86947af6aa93')).exists())
gateway-children-report-parent-relationship: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', delivered face-to-face, then parent relationship should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '763c6f21-5467-4713-82fb-716c9d0a1fdf')).exists())
gateway-children-report-weight: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Undersøgelse i mellemtrin, med måling', 'Udskolingsundersøgelse', delivered face-to-face, then weight should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'd01bcb90-2b29-44f4-834c-191d6dd4a08a' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '27113001')).exists())
gateway-children-report-height: If there is an encounter of type 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Undersøgelse i mellemtrin, med måling', 'Udskolingsundersøgelse', delivered face-to-face, then height should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'd01bcb90-2b29-44f4-834c-191d6dd4a08a' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies ( entry.select((resource as Observation).code.coding.where(code = '1153637007')).exists() or entry.select((resource as Observation).code.coding.where(code = '248333004')).exists() or entry.select((resource as Observation).code.coding.where(code = '1149101003')).exists()))
gateway-children-report-head-circumference: If there is an encounter of type 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn' delivered face-to-face, then head circumference should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '363812007')).exists())
gateway-children-report-passive-smoking: If there is an encounter of type 'Etableringsbesøg' delivered face-to-face, then pasive smoking should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '28972d4b-fea3-42ec-b2a5-e2a26f79b14d')).exists())
gateway-children-report-nicotine: If there is an encounter of type 'Udskolingsundersøgelse' delivered face-to-face, then nicotine should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '76891f7b-cf49-4cb2-88d6-728a509eb75d')).exists())
gateway-children-report-nutrition: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then nutrition should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'e61e4dab-54bb-4bf4-9b76-8d991cf4de08')).exists())
gateway-children-report-communication: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then communication should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '653c2b0b-bb64-4906-888b-aea6fef3c3f8')).exists())
gateway-children-report-sleep: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sleep should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '73f981f8-455a-4158-b435-7c6d83ab84da')).exists())
gateway-children-report-motor-function: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sleep should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '73f981f8-455a-4158-b435-7c6d83ab84da')).exists())
gateway-children-report-physical-activity: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then physical activity should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'b331fe02-a781-4abd-b6db-9331d6a69b15')).exists())
gateway-children-report-hearing: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then hearing should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'a22c4b53-b622-4394-ba13-910a7b0d7b0d')).exists())
gateway-children-report-sight: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sight should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '01fddd46-ed7c-423d-b191-ffdd977dd61e')).exists())
bdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
2. Bundle.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

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

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

ShortPersistent identifier for the bundle
Comments

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

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..01
TypeIdentifier
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Bundle.type
Definition

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

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

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

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

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

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

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

Short[DK] indberetningsrapportTidWhen the bundle was assembled
Comments

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

Usage:

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

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

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

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

ShortIf search, the total number of matches
Comments

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

Control0..01
This element is affected by the following invariants: bdl-1
TypeunsignedInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Bundle.link
Definition

A series of links that provide context to this bundle.

ShortLinks related to this Bundle
Comments

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

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

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

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

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

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

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

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

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

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

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

A series of links that provide context to this entry.

ShortLinks related to this entry
Control0..0*
TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
23. Bundle.entry.resource
Definition

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


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

ShortAn interaction during which services are provided to the patientA resource in the bundle
Control10..1
TypeChoice of: Encounter(KLGatewayChildrenEncounter), Patient(KLGatewayChildrenCitizen), RelatedPerson(KLGatewayChildrenRelatedParent), CarePlan(KLGatewayChildrenIntervention), QuestionnaireResponse(KLGatewayChildrenQuestionnaireResponse), Location(KLGatewayChildrenLocation), Observation, Resource
Is Modifierfalse
Summarytrue
Alternate NamesVisit
25. Bundle.entry.search
Definition

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

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

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

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

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

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

Digital Signature - base64 encoded. XML-DSig or a JWT.

ShortDigital Signature
Comments

The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.

Control0..01
TypeSignature
Is Modifierfalse
Summarytrue
Requirements

A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

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

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

0. Bundle
Definition

A container for a collection of resources.

ShortContains a collection of resources
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsbdl-1: total only when a search or history (total.empty() or (type = 'searchset') or (type = 'history'))
bdl-2: entry.search only when a search (entry.search.empty() or (type = 'searchset'))
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited (entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')))
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited (entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')))
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) ((type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct())
bdl-9: A document must have an identifier with a system and a value (type = 'document' implies (identifier.system.exists() and identifier.value.exists()))
bdl-10: A document must have a date (type = 'document' implies (timestamp.hasValue()))
bdl-11: A document must have a Composition as the first resource (type = 'document' implies entry.first().resource.is(Composition))
bdl-12: A message must have a MessageHeader as the first resource (type = 'message' implies entry.first().resource.is(MessageHeader))
gateway-children-report-1: All observation resources shall conform to the observation profiles defined in this IG (entry.select(resource as Observation).all( $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-feeding-observation') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-headcircum') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-bodyheight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-exam-result') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-bodyweight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-social-interaction') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-relationship') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-social-status') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-parent-mental-status') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-social-support-network') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-communication') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-sleep') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-motor-function') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-nutrition') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-physical-activity') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-hearing') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-sight') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-passive-smoking') or $this.conformsTo('http://fhir.kl.dk/children/StructureDefinition/klgateway-children-nicotine')))
gateway-children-report-parent-mental-state: If there is an encounter of type 'Graviditetsbesøg', 'Besøg hos det ca. 2 måneder gamle barn' delivered face-to-face, then parents mental state should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '2c39af9f-8e45-4c88-962f-e7a9e2cd31b6')).exists())
gateway-children-report-parent-social-status: If there is an encounter of type 'Graviditetsbesøg', 'Etableringsbesøg' delivered face-to-face, then parent-social-status should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '58997614-ba43-4534-90bd-10c7e76802f4')).exists())
gateway-children-report-support-network: If there is an encounter of type 'Graviditetsbesøg', 'Etableringsbesøg' delivered face-to-face, then support network should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'd3c00541-f1d3-4c43-b5fc-16e8914ca1df' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '7e7fab2f-278a-4b14-9bc9-efc36fffcba5')).exists())
gateway-children-report-social-interaction: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then social interaction should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '68605f88-49fb-44b9-b327-86947af6aa93')).exists())
gateway-children-report-parent-relationship: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', delivered face-to-face, then parent relationship should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '763c6f21-5467-4713-82fb-716c9d0a1fdf')).exists())
gateway-children-report-weight: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Undersøgelse i mellemtrin, med måling', 'Udskolingsundersøgelse', delivered face-to-face, then weight should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'd01bcb90-2b29-44f4-834c-191d6dd4a08a' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '27113001')).exists())
gateway-children-report-height: If there is an encounter of type 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Undersøgelse i mellemtrin, med måling', 'Udskolingsundersøgelse', delivered face-to-face, then height should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'd01bcb90-2b29-44f4-834c-191d6dd4a08a' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies ( entry.select((resource as Observation).code.coding.where(code = '1153637007')).exists() or entry.select((resource as Observation).code.coding.where(code = '248333004')).exists() or entry.select((resource as Observation).code.coding.where(code = '1149101003')).exists()))
gateway-children-report-head-circumference: If there is an encounter of type 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn' delivered face-to-face, then head circumference should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '363812007')).exists())
gateway-children-report-passive-smoking: If there is an encounter of type 'Etableringsbesøg' delivered face-to-face, then pasive smoking should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '28972d4b-fea3-42ec-b2a5-e2a26f79b14d')).exists())
gateway-children-report-nicotine: If there is an encounter of type 'Udskolingsundersøgelse' delivered face-to-face, then nicotine should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '76891f7b-cf49-4cb2-88d6-728a509eb75d')).exists())
gateway-children-report-nutrition: If there is an encounter of type 'Barselsbesøg', 'Etableringsbesøg', 'Andet besøg inden første måned', 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then nutrition should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '7d35a193-e808-4e77-b361-6c0d114d021f' or type.coding.code = 'b4bf6058-502a-4d64-bb8e-369661f43b47' or type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'e61e4dab-54bb-4bf4-9b76-8d991cf4de08')).exists())
gateway-children-report-communication: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then communication should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '563c4174-f451-4c87-8db8-8d5472ca7ff6' or type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '653c2b0b-bb64-4906-888b-aea6fef3c3f8')).exists())
gateway-children-report-sleep: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sleep should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '73f981f8-455a-4158-b435-7c6d83ab84da')).exists())
gateway-children-report-motor-function: If there is an encounter of type 'Besøg hos det ca. 2 måneder gamle barn', 'Besøg hos det 4-6 måneder gamle barn', 'Besøg hos det 8-11 måneder gamle barn', 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sleep should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = '51f30d1c-d60e-4e3e-ac22-ec9712ea962d' or type.coding.code = '58ff370b-a775-4bec-b24a-91604e0a5fe7' or type.coding.code = '3f3e6489-31bd-44cf-9920-3c632868feb7' or type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '73f981f8-455a-4158-b435-7c6d83ab84da')).exists())
gateway-children-report-physical-activity: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then physical activity should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'b331fe02-a781-4abd-b6db-9331d6a69b15')).exists())
gateway-children-report-hearing: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then hearing should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = 'a22c4b53-b622-4394-ba13-910a7b0d7b0d')).exists())
gateway-children-report-sight: If there is an encounter of type 'Indskolingsundersøgelse', 'Udskolingsundersøgelse', delivered face-to-face, then sight should be included in the bundle (entry.select((resource as Encounter).where( (type.coding.code = 'c06ed6f1-be9d-460e-a45e-34821bcbd533' or type.coding.code = 'dd766967-4d02-4c17-8ed3-021852785fdf') and (class.code = 'HH' or class.code = 'AMB'))).exists() implies entry.select((resource as Observation).code.coding.where(code = '01fddd46-ed7c-423d-b191-ffdd977dd61e')).exists())
2. Bundle.id
Definition

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

ShortLogical id of this artifact
Comments

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

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

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

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

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

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

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

ShortAdditional content defined by implementations
Comments

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

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Bundle.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. Bundle.meta.versionId
    Definition

    The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

    ShortVersion specific identifier
    Comments

    The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

    Control0..1
    Typeid
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Bundle.meta.lastUpdated
    Definition

    When the resource last changed - e.g. when the version changed.

    ShortWhen the resource version last changed
    Comments

    This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

    Control0..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    14. Bundle.meta.source
    Definition

    A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

    ShortIdentifies where the resource comes from
    Comments

    In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

    This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Bundle.meta.profile
    Definition

    A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

    Short[DK] indberetningsrapportProfil
    Comments

    It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

    Control1..1
    Typecanonical(StructureDefinition)
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Pattern Valuehttp://fhir.kl.dk/children/StructureDefinition/klgateway-children-delivery-report
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Bundle.meta.security
    Definition

    Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

    ShortSecurity Labels applied to this resource
    Comments

    The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from All Security Labels
    (extensible to http://hl7.org/fhir/ValueSet/security-labels)

    Security Labels from the Healthcare Privacy and Security Classification System.

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Bundle.meta.tag
    Definition

    Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

    ShortTags applied to this resource
    Comments

    The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

    Control0..*
    BindingFor example codes, see CommonTags
    (example to http://hl7.org/fhir/ValueSet/common-tags)

    Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

    TypeCoding
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Bundle.implicitRules
    Definition

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

    ShortA set of rules under which this content was created
    Comments

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

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

    The base language in which the resource is written.

    ShortLanguage of the resource content
    Comments

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

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

    A human language.

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

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

    ShortPersistent identifier for the bundle
    Comments

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

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..0
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Bundle.type
    Definition

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

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

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

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

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

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

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

    Short[DK] indberetningsrapportTid
    Comments

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

    Usage:

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

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

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

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

    ShortIf search, the total number of matches
    Comments

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

    Control0..0
    This element is affected by the following invariants: bdl-1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Bundle.link
    Definition

    A series of links that provide context to this bundle.

    ShortLinks related to this Bundle
    Comments

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

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

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

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

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

    Short[DK] indberetningsrapportIndhold
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summarytrue
    Invariantsbdl-5: must be a resource unless there's a request or response (resource.exists() or request.exists() or response.exists())
    bdl-8: fullUrl cannot be a version specific reference (fullUrl.contains('/_history/').not())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    43. Bundle.entry.id
    Definition

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

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

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

    ShortAdditional content defined by implementations
    Comments

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

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

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

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

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

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

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

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

    A series of links that provide context to this entry.

    ShortLinks related to this entry
    Control0..0
    TypeSeettp://hl7.org/fhir/StructureDefinition/Bundle#Bundle.link
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    51. Bundle.entry.fullUrl
    Definition

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

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

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

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

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    53. Bundle.entry.resource
    Definition

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

    ShortAn interaction during which services are provided to the patient
    Control1..1
    TypeChoice of: Encounter(KLGatewayChildrenEncounter), Patient(KLGatewayChildrenCitizen), RelatedPerson(KLGatewayChildrenRelatedParent), CarePlan(KLGatewayChildrenIntervention), QuestionnaireResponse(KLGatewayChildrenQuestionnaireResponse), Location(KLGatewayChildrenLocation), Observation
    Is Modifierfalse
    Summarytrue
    Alternate NamesVisit
    55. Bundle.entry.search
    Definition

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

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

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

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

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

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

    Digital Signature - base64 encoded. XML-DSig or a JWT.

    ShortDigital Signature
    Comments

    The signature could be created by the "author" of the bundle or by the originating device. Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.

    Control0..0
    TypeSignature
    Is Modifierfalse
    Summarytrue
    Requirements

    A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.

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