Making EHR Data More available for Research and Public Health (MedMorph)
0.2.0 - STU 1 draft
Making EHR Data More available for Research and Public Health (MedMorph)
0.2.0 - STU 1 draft
This page is part of the Making EHR Data MOre available for Research and Public Health (MedMorph) (v0.2.0: STU 1 Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-response-bundle |
| Version: | 0.2.0 |
| Name: | USPublicHealthResponseBundle |
| Title: | USPH Response Bundle |
| Status: | Draft as of 9/1/19 |
| 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-response-bundle
This profile is used to represent messages that contain public health/research response data. The Bundle is of type ‘message’ and the first entry is always the MessageHeader resource. The entry following that is a Communication resource that will contain the information relevant to the response.
Reporting Bundle Structure
The Response Bundle SHALL always contain the first entry as the MessageHeader resource. The focus of the MessageHeader (MessageHeader.focus) is the Communication resource. The Communication resource links the request and the response together.
See the Response 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.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Bundle
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Bundle | 0..* | Bundle | USPH Response Bundle | |
  type | S | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: message |
  timestamp | S | 0..1 | instant | When the bundle was assembled |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | I | 0..* | Bundle | USPH Response Bundle |
| id | Σ | 0..1 | string | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| identifier | Σ | 0..1 | Identifier | Persistent identifier for the bundle |
| type | SΣ | 1..1 | code | document | 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 | SΣ | 0..1 | instant | When the bundle was assembled |
| total | ΣI | 0..1 | unsignedInt | If search, the total number of matches |
 link | Σ | 0..* | BackboneElement | Links related to this Bundle |
 id | 0..1 | string | Unique id for inter-element referencing | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 |
| url | Σ | 1..1 | uri | Reference details for the link |
| entry | ΣI | 0..* | BackboneElement | Entry 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..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| link | Σ | 0..* | See link (Bundle) | Links related to this entry |
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource | Σ | 0..1 | Resource | A resource in the bundle |
| search | ΣI | 0..1 | BackboneElement | Search related information |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | Σ | 0..1 | code | match | 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 | Σ | 0..1 | decimal | Search ranking (between 0 and 1) |
| request | ΣI | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. |
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry |
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency |
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency |
| ifMatch | Σ | 0..1 | string | For managing update contention |
| ifNoneExist | Σ | 0..1 | string | For conditional creates |
 response | ΣI | 0..1 | BackboneElement | Results of execution (transaction/batch/history) |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| status | Σ | 1..1 | string | Status response code (text optional) |
| location | Σ | 0..1 | uri | The location (if the operation returns a location) |
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) |
| lastModified | Σ | 0..1 | instant | Server's date time modified |
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) |
| signature | Σ | 0..1 | Signature | Digital Signature |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | I | 0..* | Bundle | USPH Response Bundle |
| type | Σ | 1..1 | code | document | 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 | Σ | 0..1 | instant | When the bundle was assembled |
| Documentation for this format | ||||
This structure is derived from Bundle
Differential View
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | 0..* | Bundle | USPH Response Bundle | |
| type | S | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: message |
| timestamp | S | 0..1 | instant | When the bundle was assembled |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | I | 0..* | Bundle | USPH Response Bundle |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| identifier | Σ | 0..1 | Identifier | Persistent identifier for the bundle |
| type | SΣ | 1..1 | code | document | 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 | SΣ | 0..1 | instant | When the bundle was assembled |
| total | ΣI | 0..1 | unsignedInt | If search, the total number of matches |
| link | Σ | 0..* | BackboneElement | Links related to this Bundle |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 |
| url | Σ | 1..1 | uri | Reference details for the link |
| entry | ΣI | 0..* | BackboneElement | Entry 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..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| link | Σ | 0..* | See link (Bundle) | Links related to this entry |
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource | Σ | 0..1 | Resource | A resource in the bundle |
| search | ΣI | 0..1 | BackboneElement | Search related information |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | Σ | 0..1 | code | match | 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 | Σ | 0..1 | decimal | Search ranking (between 0 and 1) |
| request | ΣI | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. |
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry |
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency |
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency |
| ifMatch | Σ | 0..1 | string | For managing update contention |
| ifNoneExist | Σ | 0..1 | string | For conditional creates |
| response | ΣI | 0..1 | BackboneElement | Results of execution (transaction/batch/history) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| status | Σ | 1..1 | string | Status response code (text optional) |
| location | Σ | 0..1 | uri | The location (if the operation returns a location) |
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) |
| lastModified | Σ | 0..1 | instant | Server's date time modified |
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) |
| signature | Σ | 0..1 | Signature | Digital Signature |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| Bundle.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Bundle.type | required | Fixed Value: message |
| Bundle.entry.search.mode | required | SearchEntryMode |
| Bundle.entry.request.method | required | HTTPVerb |
| Id | Path | Details | Requirements |
| bdl-1 | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') | |
| bdl-2 | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') | |
| bdl-3 | Bundle | 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 | Bundle | 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 | Bundle | 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 | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) | |
| bdl-10 | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) | |
| bdl-11 | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) | |
| bdl-12 | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) | |
| ele-1 | Bundle.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.timestamp | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.total | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.link | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.link.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.link.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.link.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.link.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.link.relation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.link.url | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| bdl-5 | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() | |
| bdl-8 | Bundle.entry | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() | |
| ele-1 | Bundle.entry | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.link | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.fullUrl | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.search | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.search.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.search.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.search.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.search.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.search.mode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.search.score | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.request.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.request.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.request.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.request.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request.url | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request.ifNoneMatch | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request.ifModifiedSince | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request.ifMatch | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.request.ifNoneExist | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.response | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.response.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.response.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.response.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Bundle.entry.response.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Bundle.entry.response.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.response.location | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.response.etag | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.entry.response.lastModified | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Bundle.signature | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2020+ HL7 International - Public Health Work Group. Package hl7.fhir.us.medmorph#0.2.0 based on FHIR 4.0.1. Generated 2021-12-08
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