Making EHR Data More available for Research and Public Health (MedMorph)
0.1.0 - STU Ballot

This page is part of the Making EHR Data MOre available for Research and Public Health (MedMorph) (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: USPublicHealthReportingBundle

Defining URL:http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle
Version:0.1.0
Name:USPublicHealthReportingBundle
Title:USPH Reporting Bundle
Status:Draft as of 2019-09-01
Definition:

Bundle Resource profile for exchanging one of MedMorph messages, knowledge artifacts or content.

Publisher:HL7 International - Public Health Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-reporting-bundle

Introduction

This profile is used to represent messages that contain public health/research reporting data. The Bundle is of type ‘message’ and the first entry is always the MessageHeader resource. The entry following that is a nested content bundle that will contain all the resources that need to be submitted. When data is to be encrypted, the Content Bundle is encrypted; however, the outer Bundle and the MessageHeader are not encrypted.

Reporting Bundle Structure

The Reporting Bundle SHALL always contain the first entry as the MessageHeader resource. The focus of the MessageHeader (MessageHeader.focus) is the Content Bundle. The Content Bundle contains all the resources related to the Patient.

See the Reporting Bundle Example

Implementation Requirements

Implementers are advised to read Report Submission Requirements to implement the Bundle profile.

API : Bundle Submission:

The bundles are submitted using the POST API and invoking the $process-message operation. The syntax is as shown below.

POST http://<FHIR Server URL>/$process-message

The body of the request will contain the JSON data of the US PH Reporting Bundle.

Formal Views of Profile Content

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

This structure is derived from Bundle

Summary

Mandatory: 1 element
Must-Support: 2 elements
Fixed Value: 1 element

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleUSPH Reporting Bundle
... type S1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: message
... timestamp S0..1instantWhen the bundle was assembled

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle I0..*BundleUSPH Reporting Bundle
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ0..1IdentifierPersistent identifier for the bundle
... type SΣ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: message
... timestamp SΣ0..1instantWhen the bundle was assembled
... total ΣI0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... entry ΣI0..*BackboneElementEntry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... link Σ0..*See link (Bundle)Links related to this entry
.... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
.... resource Σ0..1ResourceA resource in the bundle
.... search ΣI0..1BackboneElementSearch related information
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

..... score Σ0..1decimalSearch ranking (between 0 and 1)
.... request ΣI0..1BackboneElementAdditional execution information (transaction/batch/history)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

..... url Σ1..1uriURL for HTTP equivalent of this entry
..... ifNoneMatch Σ0..1stringFor managing cache currency
..... ifModifiedSince Σ0..1instantFor managing cache currency
..... ifMatch Σ0..1stringFor managing update contention
..... ifNoneExist Σ0..1stringFor conditional creates
.... response ΣI0..1BackboneElementResults of execution (transaction/batch/history)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... status Σ1..1stringStatus response code (text optional)
..... location Σ0..1uriThe location (if the operation returns a location)
..... etag Σ0..1stringThe Etag for the resource (if relevant)
..... lastModified Σ0..1instantServer's date time modified
..... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
... signature Σ0..1SignatureDigital Signature

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle I0..*BundleUSPH Reporting Bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: message
... timestamp Σ0..1instantWhen the bundle was assembled

doco Documentation for this format

This structure is derived from Bundle

Summary

Mandatory: 1 element
Must-Support: 2 elements
Fixed Value: 1 element

Differential View

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleUSPH Reporting Bundle
... type S1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: message
... timestamp S0..1instantWhen the bundle was assembled

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle I0..*BundleUSPH Reporting Bundle
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ0..1IdentifierPersistent identifier for the bundle
... type SΣ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: message
... timestamp SΣ0..1instantWhen the bundle was assembled
... total ΣI0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... entry ΣI0..*BackboneElementEntry in the bundle - will have a resource or information
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... link Σ0..*See link (Bundle)Links related to this entry
.... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
.... resource Σ0..1ResourceA resource in the bundle
.... search ΣI0..1BackboneElementSearch related information
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

..... score Σ0..1decimalSearch ranking (between 0 and 1)
.... request ΣI0..1BackboneElementAdditional execution information (transaction/batch/history)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

..... url Σ1..1uriURL for HTTP equivalent of this entry
..... ifNoneMatch Σ0..1stringFor managing cache currency
..... ifModifiedSince Σ0..1instantFor managing cache currency
..... ifMatch Σ0..1stringFor managing update contention
..... ifNoneExist Σ0..1stringFor conditional creates
.... response ΣI0..1BackboneElementResults of execution (transaction/batch/history)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... status Σ1..1stringStatus response code (text optional)
..... location Σ0..1uriThe location (if the operation returns a location)
..... etag Σ0..1stringThe Etag for the resource (if relevant)
..... lastModified Σ0..1instantServer's date time modified
..... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
... signature Σ0..1SignatureDigital Signature

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Bundle.languagepreferredCommonLanguages
Max Binding: AllLanguages
Bundle.typerequiredFixed Value: message
Bundle.entry.search.moderequiredSearchEntryMode
Bundle.entry.request.methodrequiredHTTPVerb

Constraints

IdPathDetailsRequirements
bdl-1Bundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2Bundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3Bundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4Bundleentry.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-7BundleFullUrl 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-9BundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10BundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11BundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12BundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1Bundle.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.timestampAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.totalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.linkAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.link.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.link.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.link.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.link.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.link.relationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.link.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
bdl-5Bundle.entrymust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-8Bundle.entryfullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
ele-1Bundle.entryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.linkAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.fullUrlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.searchAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.search.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.search.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.search.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.search.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.search.modeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.search.scoreAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.requestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.request.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.request.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.request.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.request.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.request.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.request.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.request.ifNoneMatchAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.request.ifModifiedSinceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.request.ifMatchAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.request.ifNoneExistAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.responseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.response.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.response.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.response.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Bundle.entry.response.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Bundle.entry.response.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.response.locationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.response.etagAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.entry.response.lastModifiedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Bundle.signatureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())