The ACCESS Data Reporting Bundle Profile defines the structure for packaging clinical data submissions. It is a document-type Bundle that SHALL contain a Patient resource and an ACCESS Data Reporting Composition resource.

Bundle Structure

• Type: Must be document
• Identifier: Required (1..1) - unique identifier for this data submission
• Entry slicing:
  • patient entry (1..1): References a US Core Patient resource
  • access-data-reporting-composition entry (1..1): References an ACCESS Data Reporting Composition
  • Additional entries: Any Observation, DiagnosticReport, or other resources referenced by the Composition

All resources referenced in the Composition SHALL be included in the Bundle.

For examples and submission workflows, see the Data Reporting API section in the Operations Manual.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(4.0.1)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, access-data-reporting-bundle-composition-refs-in-bundle
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)
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
Slices for entry	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type: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 Constraints: ext-1
entry:patient	SΣC	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 Constraints: ext-1
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
entry:access-data-reporting-composition	SΣC	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 Constraints: ext-1
resource	S	1..1	ACCESSDataReportingComposition(0.9.8)	A set of resources composed into a single coherent clinical statement with clinical attestation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
access-data-reporting-bundle-composition-refs-in-bundle	error	Bundle	All resources referenced from the data reporting Composition must be included in the enclosing data reporting Bundle.	entry.resource.ofType(Composition).descendants().ofType(Reference).all(resolve() in %resource.entry.resource)
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:patient, Bundle.entry:access-data-reporting-composition	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:patient, Bundle.entry:access-data-reporting-composition	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)
ele-1	error	Bundle.implicitRules, Bundle.language, Bundle.type, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry:patient, Bundle.entry:patient.modifierExtension, Bundle.entry:access-data-reporting-composition, Bundle.entry:access-data-reporting-composition.modifierExtension	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.entry.modifierExtension, Bundle.entry:patient.modifierExtension, Bundle.entry:access-data-reporting-composition.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(4.0.1)	Contains a collection of resources
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred)
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: document
Slices for entry		2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource
entry:patient	S	1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
entry:access-data-reporting-composition	S	1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource	S	1..1	ACCESSDataReportingComposition(0.9.8)	A set of resources composed into a single coherent clinical statement with clinical attestation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
access-data-reporting-bundle-composition-refs-in-bundle	error	Bundle	All resources referenced from the data reporting Composition must be included in the enclosing data reporting Bundle.	entry.resource.ofType(Composition).descendants().ofType(Reference).all(resolve() in %resource.entry.resource)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(4.0.1)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, access-data-reporting-bundle-composition-refs-in-bundle
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)
identifier	Σ	0..1	Identifier	Persistent identifier for the 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. Required Pattern: document
timestamp	Σ	0..1	instant	When the bundle was assembled
total	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type: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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)
entry:patient	SΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)
entry:access-data-reporting-composition	SΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ACCESSDataReportingComposition(0.9.8)	A set of resources composed into a single coherent clinical statement with clinical attestation
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍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: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:access-data-reporting-composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:access-data-reporting-composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
access-data-reporting-bundle-composition-refs-in-bundle	error	Bundle	All resources referenced from the data reporting Composition must be included in the enclosing data reporting Bundle.	entry.resource.ofType(Composition).descendants().ofType(Reference).all(resolve() in %resource.entry.resource)
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:patient, Bundle.entry:access-data-reporting-composition	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:patient, Bundle.entry:access-data-reporting-composition	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)
ele-1	error	Bundle.meta, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.entry:patient, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.link, Bundle.entry:patient.fullUrl, Bundle.entry:patient.search, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.search.mode, Bundle.entry:patient.search.score, Bundle.entry:patient.request, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.request.ifNoneMatch, Bundle.entry:patient.request.ifModifiedSince, Bundle.entry:patient.request.ifMatch, Bundle.entry:patient.request.ifNoneExist, Bundle.entry:patient.response, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:patient.response.location, Bundle.entry:patient.response.etag, Bundle.entry:patient.response.lastModified, Bundle.entry:access-data-reporting-composition, Bundle.entry:access-data-reporting-composition.extension, Bundle.entry:access-data-reporting-composition.modifierExtension, Bundle.entry:access-data-reporting-composition.link, Bundle.entry:access-data-reporting-composition.fullUrl, Bundle.entry:access-data-reporting-composition.search, Bundle.entry:access-data-reporting-composition.search.extension, Bundle.entry:access-data-reporting-composition.search.modifierExtension, Bundle.entry:access-data-reporting-composition.search.mode, Bundle.entry:access-data-reporting-composition.search.score, Bundle.entry:access-data-reporting-composition.request, Bundle.entry:access-data-reporting-composition.request.extension, Bundle.entry:access-data-reporting-composition.request.modifierExtension, Bundle.entry:access-data-reporting-composition.request.method, Bundle.entry:access-data-reporting-composition.request.url, Bundle.entry:access-data-reporting-composition.request.ifNoneMatch, Bundle.entry:access-data-reporting-composition.request.ifModifiedSince, Bundle.entry:access-data-reporting-composition.request.ifMatch, Bundle.entry:access-data-reporting-composition.request.ifNoneExist, Bundle.entry:access-data-reporting-composition.response, Bundle.entry:access-data-reporting-composition.response.extension, Bundle.entry:access-data-reporting-composition.response.modifierExtension, Bundle.entry:access-data-reporting-composition.response.status, Bundle.entry:access-data-reporting-composition.response.location, Bundle.entry:access-data-reporting-composition.response.etag, Bundle.entry:access-data-reporting-composition.response.lastModified, Bundle.signature	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:access-data-reporting-composition.extension, Bundle.entry:access-data-reporting-composition.modifierExtension, Bundle.entry:access-data-reporting-composition.search.extension, Bundle.entry:access-data-reporting-composition.search.modifierExtension, Bundle.entry:access-data-reporting-composition.request.extension, Bundle.entry:access-data-reporting-composition.request.modifierExtension, Bundle.entry:access-data-reporting-composition.response.extension, Bundle.entry:access-data-reporting-composition.response.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(4.0.1)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, access-data-reporting-bundle-composition-refs-in-bundle
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)
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
Slices for entry	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type: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 Constraints: ext-1
entry:patient	SΣC	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 Constraints: ext-1
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
entry:access-data-reporting-composition	SΣC	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 Constraints: ext-1
resource	S	1..1	ACCESSDataReportingComposition(0.9.8)	A set of resources composed into a single coherent clinical statement with clinical attestation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
access-data-reporting-bundle-composition-refs-in-bundle	error	Bundle	All resources referenced from the data reporting Composition must be included in the enclosing data reporting Bundle.	entry.resource.ofType(Composition).descendants().ofType(Reference).all(resolve() in %resource.entry.resource)
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:patient, Bundle.entry:access-data-reporting-composition	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:patient, Bundle.entry:access-data-reporting-composition	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)
ele-1	error	Bundle.implicitRules, Bundle.language, Bundle.type, Bundle.entry, Bundle.entry.modifierExtension, Bundle.entry:patient, Bundle.entry:patient.modifierExtension, Bundle.entry:access-data-reporting-composition, Bundle.entry:access-data-reporting-composition.modifierExtension	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.entry.modifierExtension, Bundle.entry:patient.modifierExtension, Bundle.entry:access-data-reporting-composition.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(4.0.1)	Contains a collection of resources
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred)
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: document
Slices for entry		2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource
entry:patient	S	1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource	S	1..1	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
entry:access-data-reporting-composition	S	1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource	S	1..1	ACCESSDataReportingComposition(0.9.8)	A set of resources composed into a single coherent clinical statement with clinical attestation
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
access-data-reporting-bundle-composition-refs-in-bundle	error	Bundle	All resources referenced from the data reporting Composition must be included in the enclosing data reporting Bundle.	entry.resource.ofType(Composition).descendants().ofType(Reference).all(resolve() in %resource.entry.resource)

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle(4.0.1)	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, access-data-reporting-bundle-composition-refs-in-bundle
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)
identifier	Σ	0..1	Identifier	Persistent identifier for the 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. Required Pattern: document
timestamp	Σ	0..1	instant	When the bundle was assembled
total	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type: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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)
entry:patient	SΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	USCorePatientProfile(6.1.0)	Information about an individual or animal receiving health care services
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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)
entry:access-data-reporting-composition	SΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ACCESSDataReportingComposition(0.9.8)	A set of resources composed into a single coherent clinical statement with clinical attestation
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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	ΣC	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍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: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:access-data-reporting-composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:access-data-reporting-composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
access-data-reporting-bundle-composition-refs-in-bundle	error	Bundle	All resources referenced from the data reporting Composition must be included in the enclosing data reporting Bundle.	entry.resource.ofType(Composition).descendants().ofType(Reference).all(resolve() in %resource.entry.resource)
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:patient, Bundle.entry:access-data-reporting-composition	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:patient, Bundle.entry:access-data-reporting-composition	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)
ele-1	error	Bundle.meta, Bundle.implicitRules, Bundle.language, Bundle.identifier, Bundle.type, Bundle.timestamp, Bundle.total, Bundle.link, Bundle.link.extension, Bundle.link.modifierExtension, Bundle.link.relation, Bundle.link.url, Bundle.entry, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.link, Bundle.entry.fullUrl, Bundle.entry.search, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.search.mode, Bundle.entry.search.score, Bundle.entry.request, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.request.method, Bundle.entry.request.url, Bundle.entry.request.ifNoneMatch, Bundle.entry.request.ifModifiedSince, Bundle.entry.request.ifMatch, Bundle.entry.request.ifNoneExist, Bundle.entry.response, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry.response.status, Bundle.entry.response.location, Bundle.entry.response.etag, Bundle.entry.response.lastModified, Bundle.entry:patient, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.link, Bundle.entry:patient.fullUrl, Bundle.entry:patient.search, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.search.mode, Bundle.entry:patient.search.score, Bundle.entry:patient.request, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.request.method, Bundle.entry:patient.request.url, Bundle.entry:patient.request.ifNoneMatch, Bundle.entry:patient.request.ifModifiedSince, Bundle.entry:patient.request.ifMatch, Bundle.entry:patient.request.ifNoneExist, Bundle.entry:patient.response, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:patient.response.status, Bundle.entry:patient.response.location, Bundle.entry:patient.response.etag, Bundle.entry:patient.response.lastModified, Bundle.entry:access-data-reporting-composition, Bundle.entry:access-data-reporting-composition.extension, Bundle.entry:access-data-reporting-composition.modifierExtension, Bundle.entry:access-data-reporting-composition.link, Bundle.entry:access-data-reporting-composition.fullUrl, Bundle.entry:access-data-reporting-composition.search, Bundle.entry:access-data-reporting-composition.search.extension, Bundle.entry:access-data-reporting-composition.search.modifierExtension, Bundle.entry:access-data-reporting-composition.search.mode, Bundle.entry:access-data-reporting-composition.search.score, Bundle.entry:access-data-reporting-composition.request, Bundle.entry:access-data-reporting-composition.request.extension, Bundle.entry:access-data-reporting-composition.request.modifierExtension, Bundle.entry:access-data-reporting-composition.request.method, Bundle.entry:access-data-reporting-composition.request.url, Bundle.entry:access-data-reporting-composition.request.ifNoneMatch, Bundle.entry:access-data-reporting-composition.request.ifModifiedSince, Bundle.entry:access-data-reporting-composition.request.ifMatch, Bundle.entry:access-data-reporting-composition.request.ifNoneExist, Bundle.entry:access-data-reporting-composition.response, Bundle.entry:access-data-reporting-composition.response.extension, Bundle.entry:access-data-reporting-composition.response.modifierExtension, Bundle.entry:access-data-reporting-composition.response.status, Bundle.entry:access-data-reporting-composition.response.location, Bundle.entry:access-data-reporting-composition.response.etag, Bundle.entry:access-data-reporting-composition.response.lastModified, Bundle.signature	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Bundle.link.extension, Bundle.link.modifierExtension, Bundle.entry.extension, Bundle.entry.modifierExtension, Bundle.entry.search.extension, Bundle.entry.search.modifierExtension, Bundle.entry.request.extension, Bundle.entry.request.modifierExtension, Bundle.entry.response.extension, Bundle.entry.response.modifierExtension, Bundle.entry:patient.extension, Bundle.entry:patient.modifierExtension, Bundle.entry:patient.search.extension, Bundle.entry:patient.search.modifierExtension, Bundle.entry:patient.request.extension, Bundle.entry:patient.request.modifierExtension, Bundle.entry:patient.response.extension, Bundle.entry:patient.response.modifierExtension, Bundle.entry:access-data-reporting-composition.extension, Bundle.entry:access-data-reporting-composition.modifierExtension, Bundle.entry:access-data-reporting-composition.search.extension, Bundle.entry:access-data-reporting-composition.search.modifierExtension, Bundle.entry:access-data-reporting-composition.request.extension, Bundle.entry:access-data-reporting-composition.request.modifierExtension, Bundle.entry:access-data-reporting-composition.response.extension, Bundle.entry:access-data-reporting-composition.response.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0)
• ACCESS Data Reporting Composition (https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-composition|0.9.8)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Bundle.entry