Making Electronic Data More available for Research and Public Health (MedMorph)
1.0.0 - STU 1 United States of America flag

This page is part of the Making EHR Data MOre available for Research and Public Health (MedMorph) (v1.0.0: STU1 Release 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: US Public Health Content Bundle

Official URL: http://hl7.org/fhir/us/medmorph/StructureDefinition/us-ph-content-bundle Version: 1.0.0
Draft as of 2019-09-01 Computable Name: USPublicHealthContentBundle

Bundle Resource profile for organizing the content of the Public Health Message to be exchanged with a Public Health Agency.

Introduction

This profile is used to represent the clinical content in the US PH Reporting Bundle that contains public health/research reporting data. The Bundle is of type ‘collection’ and will contain entries of resources. When data is to be encrypted, this entire bundle would be encrypted as it contains the content.

Content Bundle Structure

The Content Bundle contains all the resources related to the Patient.

See the Content Bundle Example

Implementation Requirements

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

Usage:

Formal Views of Profile Content

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

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleUS Public Health Content Bundle
... type S1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp S0..1instantWhen the bundle was assembled
... entry S1..*BackboneElementEntry in the bundle - will have a resource or information

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleUS Public Health Content Bundle
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... 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: collection
... timestamp SΣ0..1instantWhen the bundle was assembled
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Bundle.typerequiredFixed Value: collection

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.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-5errorBundle.entrymust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl 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-8errorBundle.entryfullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleUS Public Health Content Bundle
... id Σ0..1idLogical 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: collection
... timestamp SΣ0..1instantWhen the bundle was assembled
... total ΣC0..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 SΣC1..*BackboneElementEntry in the bundle - will have a resource or information
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 ΣC0..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 ΣC0..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 ΣC0..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 ΣTU0..1SignatureDigital Signature

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Bundle.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Bundle.typerequiredFixed Value: collection
Bundle.entry.search.moderequiredSearchEntryMode
Bundle.entry.request.methodrequiredHTTPVerb

Constraints

IdGradePath(s)DetailsRequirements
bdl-5errorBundle.entrymust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-8errorBundle.entryfullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 2 elements
Must-Support: 3 elements
Fixed Value: 1 element

Differential View

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleUS Public Health Content Bundle
... type S1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp S0..1instantWhen the bundle was assembled
... entry S1..*BackboneElementEntry in the bundle - will have a resource or information

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleUS Public Health Content Bundle
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... 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: collection
... timestamp SΣ0..1instantWhen the bundle was assembled
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Bundle.typerequiredFixed Value: collection

Constraints

IdGradePath(s)DetailsRequirements
bdl-1errorBundletotal only when a search or history
: total.empty() or (type = 'searchset') or (type = 'history')
bdl-2errorBundleentry.search only when a search
: entry.search.empty() or (type = 'searchset')
bdl-3errorBundleentry.request mandatory for batch/transaction/history, otherwise prohibited
: entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4errorBundleentry.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-5errorBundle.entrymust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-7errorBundleFullUrl 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-8errorBundle.entryfullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
bdl-9errorBundleA document must have an identifier with a system and a value
: type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10errorBundleA document must have a date
: type = 'document' implies (timestamp.hasValue())
bdl-11errorBundleA document must have a Composition as the first resource
: type = 'document' implies entry.first().resource.is(Composition)
bdl-12errorBundleA message must have a MessageHeader as the first resource
: type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleUS Public Health Content Bundle
... id Σ0..1idLogical 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: collection
... timestamp SΣ0..1instantWhen the bundle was assembled
... total ΣC0..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 SΣC1..*BackboneElementEntry in the bundle - will have a resource or information
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 ΣC0..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 ΣC0..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 ΣC0..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 ΣTU0..1SignatureDigital Signature

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Bundle.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Bundle.typerequiredFixed Value: collection
Bundle.entry.search.moderequiredSearchEntryMode
Bundle.entry.request.methodrequiredHTTPVerb

Constraints

IdGradePath(s)DetailsRequirements
bdl-5errorBundle.entrymust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-8errorBundle.entryfullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Bundle

Summary

Mandatory: 2 elements
Must-Support: 3 elements
Fixed Value: 1 element

 

Other representations of profile: CSV, Excel, Schematron