# Clinical Note Document

26.0.0 AU

Clinical Note Document - Local Development build (v26.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: CND Bundle

Official URL: http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-bundle | Version: 26.0.0
Active as of 2026-06-19 | Computable Name: CND_Bundle
Copyright/Legal: This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/

This profile specialises the FHIR Clinical Document Bundle for the purposes of the Clinical Note Document in Australia. All the guidelines and conformance requirements defined of the FHIR Clinical Document Bundle apply.

This profile defines the bundle structure for a Clinical Note Document in Australia, ensuring consistent packaging of clinical note content including the composition and all referenced resources for electronic exchange between healthcare providers.

Usages:

- Examples for this Profile: Bundle/ex-bundle-anne

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | ClinicalDocumentBundle | Clinical Note Document Bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, clindoc-timestamp-ge-compoDate
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identifier system+value must be globally unique Example General: 123456
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. Required Pattern: document
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:$this.resource Constraints: bdl-5, bdl-8 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
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S Σ | 1..1 | Resource | A resource in the bundle
entry:clinical-document-composition | S Σ C | 1..1 | BackboneElement | First entry is a composition Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Composition | Clinical Note Document Composition
entry:patient | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Patient | Clinical Note Document Patient
entry:organization | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Organization, CND_Department | Clinical Note Document Organization
entry:practitionerRole | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_PractitionerRole | Clinical Note Document PractitionerRole
entry:practitioner | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Practitioner | Clinical Note Document Practitioner
entry:documentReference | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_DocumentReference | Clinical Note Document DocumentReference
entry:medication | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Medication | Clinical Note Document Medication
entry:medicationStatement | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
entry:medicationRequest | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:clinical-document-composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medication.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationStatement.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationRequest.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | 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 | error | 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-5 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | 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-8 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | 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 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
clindoc-timestamp-ge-compoDate | error | Bundle | For a FHIR Clinical Document the Bundle timestamp must be the same or after the Composition date | `timestamp >= entry.first().resource.date`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ClinicalDocumentBundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle |  | 0..* | ClinicalDocumentBundle | Clinical Note Document Bundle
identifier | S | 1..1 | Identifier | Persistent identifier for the bundle
timestamp | S | 1..1 | instant | When the bundle was assembled
entry |  | 2..* | BackboneElement | Entry in the bundle - will have a resource or information
Slices for entry |  |  |  | Content/Rules for all slices
entry:clinical-document-composition |  | 1..1 | BackboneElement | First entry is a composition
resource |  | 1..1 | CND_Composition | Clinical Note Document Composition
entry:patient | S | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Patient | Clinical Note Document Patient
entry:organization | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Organization, CND_Department | Clinical Note Document Organization
entry:practitionerRole | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_PractitionerRole | Clinical Note Document PractitionerRole
entry:practitioner | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Practitioner | Clinical Note Document Practitioner
entry:documentReference | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_DocumentReference | Clinical Note Document DocumentReference
entry:medication | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Medication | Clinical Note Document Medication
entry:medicationStatement | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
entry:medicationRequest | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | ClinicalDocumentBundle | Clinical Note Document Bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, clindoc-timestamp-ge-compoDate
id | Σ | 0..1 | id | 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): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identifier system+value must be globally unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
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. Required Pattern: document
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
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
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:$this.resource Constraints: bdl-5, bdl-8 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
entry:All Slices |  |  |  | Content/Rules for all slices
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 | S Σ | 1..1 | Resource | A resource in the bundle
entry:clinical-document-composition | S Σ C | 1..1 | BackboneElement | First entry is a composition Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Composition | Clinical Note Document Composition
entry:patient | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Patient | Clinical Note Document Patient
entry:organization | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Organization, CND_Department | Clinical Note Document Organization
entry:practitionerRole | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_PractitionerRole | Clinical Note Document PractitionerRole
entry:practitioner | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Practitioner | Clinical Note Document Practitioner
entry:documentReference | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_DocumentReference | Clinical Note Document DocumentReference
entry:medication | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Medication | Clinical Note Document Medication
entry:medicationStatement | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
entry:medicationRequest | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
signature | Σ | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Bundle.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Bundle.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:clinical-document-composition.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:clinical-document-composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medication.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:medication.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationStatement.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationStatement.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationRequest.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationRequest.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | 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 | error | 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-5 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | 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-8 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | 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 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
clindoc-timestamp-ge-compoDate | error | Bundle | For a FHIR Clinical Document the Bundle timestamp must be the same or after the Composition date | `timestamp >= entry.first().resource.date`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ClinicalDocumentBundle

Summary

Mandatory: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- CND Composition (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-composition)
- CND Patient (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient)
- CND Organization (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-organization)
- CND Department (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-department)
- CND PractitionerRole (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitionerrole)
- CND Practitioner (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitioner)
- CND DocumentReference (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-documentreference)
- CND Medication (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medication)
- CND MedicationStatement (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medicationstatement)
- AU Core MedicationRequest (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | ClinicalDocumentBundle | Clinical Note Document Bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, clindoc-timestamp-ge-compoDate
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identifier system+value must be globally unique Example General: 123456
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. Required Pattern: document
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:$this.resource Constraints: bdl-5, bdl-8 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
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S Σ | 1..1 | Resource | A resource in the bundle
entry:clinical-document-composition | S Σ C | 1..1 | BackboneElement | First entry is a composition Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Composition | Clinical Note Document Composition
entry:patient | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Patient | Clinical Note Document Patient
entry:organization | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Organization, CND_Department | Clinical Note Document Organization
entry:practitionerRole | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_PractitionerRole | Clinical Note Document PractitionerRole
entry:practitioner | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Practitioner | Clinical Note Document Practitioner
entry:documentReference | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_DocumentReference | Clinical Note Document DocumentReference
entry:medication | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_Medication | Clinical Note Document Medication
entry:medicationStatement | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | CND_MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
entry:medicationRequest | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
resource | S | 1..1 | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:clinical-document-composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medication.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationStatement.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationRequest.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | 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 | error | 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-5 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | 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-8 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | 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 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
clindoc-timestamp-ge-compoDate | error | Bundle | For a FHIR Clinical Document the Bundle timestamp must be the same or after the Composition date | `timestamp >= entry.first().resource.date`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from ClinicalDocumentBundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle |  | 0..* | ClinicalDocumentBundle | Clinical Note Document Bundle
identifier | S | 1..1 | Identifier | Persistent identifier for the bundle
timestamp | S | 1..1 | instant | When the bundle was assembled
entry |  | 2..* | BackboneElement | Entry in the bundle - will have a resource or information
Slices for entry |  |  |  | Content/Rules for all slices
entry:clinical-document-composition |  | 1..1 | BackboneElement | First entry is a composition
resource |  | 1..1 | CND_Composition | Clinical Note Document Composition
entry:patient | S | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Patient | Clinical Note Document Patient
entry:organization | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Organization, CND_Department | Clinical Note Document Organization
entry:practitionerRole | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_PractitionerRole | Clinical Note Document PractitionerRole
entry:practitioner | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Practitioner | Clinical Note Document Practitioner
entry:documentReference | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_DocumentReference | Clinical Note Document DocumentReference
entry:medication | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_Medication | Clinical Note Document Medication
entry:medicationStatement | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CND_MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
entry:medicationRequest | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | ClinicalDocumentBundle | Clinical Note Document Bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, clindoc-timestamp-ge-compoDate
id | Σ | 0..1 | id | 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): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | S Σ | 1..1 | Identifier | Persistent identifier for the bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Identifier system+value must be globally unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
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. Required Pattern: document
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
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
Slices for entry | S Σ C | 2..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:$this.resource Constraints: bdl-5, bdl-8 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
entry:All Slices |  |  |  | Content/Rules for all slices
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 | S Σ | 1..1 | Resource | A resource in the bundle
entry:clinical-document-composition | S Σ C | 1..1 | BackboneElement | First entry is a composition Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Composition | Clinical Note Document Composition
entry:patient | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Patient | Clinical Note Document Patient
entry:organization | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Organization, CND_Department | Clinical Note Document Organization
entry:practitionerRole | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_PractitionerRole | Clinical Note Document PractitionerRole
entry:practitioner | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Practitioner | Clinical Note Document Practitioner
entry:documentReference | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_DocumentReference | Clinical Note Document DocumentReference
entry:medication | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_Medication | Clinical Note Document Medication
entry:medicationStatement | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | CND_MedicationStatement | A record of medication being taken by a patient in an Australian healthcare context
entry:medicationRequest | S Σ C | 0..* | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | S | 1..1 | AUCoreMedicationRequest | A request for a medication for a patient in an Australian healthcare context
signature | Σ | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Bundle.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Bundle.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:clinical-document-composition.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:clinical-document-composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medication.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:medication.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationStatement.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationStatement.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationRequest.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:medicationRequest.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | 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 | error | 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-5 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | 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-8 | error | Bundle.entry, Bundle.entry:clinical-document-composition, Bundle.entry:patient, Bundle.entry:organization, Bundle.entry:practitionerRole, Bundle.entry:practitioner, Bundle.entry:documentReference, Bundle.entry:medication, Bundle.entry:medicationStatement, Bundle.entry:medicationRequest | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | 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 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
clindoc-timestamp-ge-compoDate | error | Bundle | For a FHIR Clinical Document the Bundle timestamp must be the same or after the Composition date | `timestamp >= entry.first().resource.date`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from ClinicalDocumentBundle

Summary

Mandatory: 1 element
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- CND Composition (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-composition)
- CND Patient (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-patient)
- CND Organization (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-organization)
- CND Department (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-department)
- CND PractitionerRole (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitionerrole)
- CND Practitioner (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-practitioner)
- CND DocumentReference (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-documentreference)
- CND Medication (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medication)
- CND MedicationStatement (http://digitalhealth.gov.au/fhir/cnd/StructureDefinition/cnd-medicationstatement)
- AU Core MedicationRequest (http://hl7.org.au/fhir/core/StructureDefinition/au-core-medicationrequest)

Other representations of profile: CSV, Excel, Schematron