PFLIP HL7 FHIR Implementation Guide
0.9.0 - draft
PFLIP HL7 FHIR Implementation Guide - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: Multimorbidität
| Official URL: https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/bundle-multimorbiditaet | Version: 0.9.0 | |||
| Draft as of 2024-12-05 | Computable Name: Bundle_Multimorbiditaet | |||
Dieses Profil dient der Darstellung von Multimorbidität durch die Zusammenführung eigenständiger Diagnosen in Form eines Bundles.
Usage:
- Refer to this Resource Profile: QuestionnaireResponse: 'Sturzrisikoermittlung'
- Examples for this Resource Profile: Bundle/rf-23-multimorbiditaet
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Bundle |
0..* | Bundle | Contains a collection of resources | |
  implicitRules |
0..0 | |||
| language |
0..0 | |||
| type |
1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection | |
| timestamp |
0..0 | |||
| total |
0..0 | |||
| link |
0..0 | |||
 entry |
2..* | BackboneElement | Entry in the bundle - will have a resource or information | |
 link |
0..0 | |||
| resource |
C | 0..1 | Resource | A resource in the bundle bun-mm-1: Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. |
| search |
0..0 | |||
| request |
0..0 | |||
 response |
0..0 | |||
| signature |
0..0 | |||
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| bun-mm-1 | error | Bundle.entry.resource | Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. : $this.meta.profile.exists() and $this.meta.profile.where($this = 'https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/condition-medizinische-diagnose').exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle |
C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource |
 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: collection |
  entry |
ΣC | 2..* | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
  modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource |
ΣC | 0..1 | Resource | A resource in the bundle bun-mm-1: Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet / Code | URI |
| Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1from the FHIR Standard | |
| Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1from the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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 | 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 | 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) | |
| bun-mm-1 | error | Bundle.entry.resource | Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. : $this.meta.profile.exists() and $this.meta.profile.where($this = 'https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/condition-medizinische-diagnose').exists() | |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle |
C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| 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: collection |
| entry |
ΣC | 2..* | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| fullUrl |
Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource |
ΣC | 0..1 | Resource | A resource in the bundle bun-mm-1: Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet / Code | URI |
| Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1from the FHIR Standard | |
| Bundle.entry.search.mode | required | SearchEntryModehttp://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1from the FHIR Standard | |
| Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1from the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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 | 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 | 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) | |
| bun-mm-1 | error | Bundle.entry.resource | Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. : $this.meta.profile.exists() and $this.meta.profile.where($this = 'https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/condition-medizinische-diagnose').exists() | |
| 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 Bundle
Differential View
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle |
0..* | Bundle | Contains a collection of resources | |
| implicitRules |
0..0 | |||
| language |
0..0 | |||
| type |
1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection | |
| timestamp |
0..0 | |||
| total |
0..0 | |||
| link |
0..0 | |||
| entry |
2..* | BackboneElement | Entry in the bundle - will have a resource or information | |
| link |
0..0 | |||
| resource |
C | 0..1 | Resource | A resource in the bundle bun-mm-1: Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. |
| search |
0..0 | |||
| request |
0..0 | |||
| response |
0..0 | |||
| signature |
0..0 | |||
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| bun-mm-1 | error | Bundle.entry.resource | Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. : $this.meta.profile.exists() and $this.meta.profile.where($this = 'https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/condition-medizinische-diagnose').exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle |
C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource |
| 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: collection |
| entry |
ΣC | 2..* | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource |
ΣC | 0..1 | Resource | A resource in the bundle bun-mm-1: Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet / Code | URI |
| Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1from the FHIR Standard | |
| Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1from the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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 | 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 | 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) | |
| bun-mm-1 | error | Bundle.entry.resource | Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. : $this.meta.profile.exists() and $this.meta.profile.where($this = 'https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/condition-medizinische-diagnose').exists() | |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle |
C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| 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: collection |
| entry |
ΣC | 2..* | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| fullUrl |
Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource |
ΣC | 0..1 | Resource | A resource in the bundle bun-mm-1: Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet / Code | URI |
| Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1from the FHIR Standard | |
| Bundle.entry.search.mode | required | SearchEntryModehttp://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1from the FHIR Standard | |
| Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1from the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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 | 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 | 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) | |
| bun-mm-1 | error | Bundle.entry.resource | Einträge im Bundle 'Multimorbidität' dürfen nur Instanzen sein, die dem Profil 'Condition_Medizinische_Diagnose' folgen. : $this.meta.profile.exists() and $this.meta.profile.where($this = 'https://pflip-ig.isst.fraunhofer.de/fhir/StructureDefinition/condition-medizinische-diagnose').exists() | |
| 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 Bundle
Other representations of profile: CSV, Excel, Schematron