This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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• Detailed Descriptions
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Resource Profile: PMLC Document

Definition of the bundle for the medication card document

Usage:

• Examples for this Resource Profile: Bundle/BundlePmlc1, Bundle/DocumentPmlcCARAPMP004AxapharmParacetamol and Bundle/DocumentPmlcCARAPMP004DafalganEffParacetamol

Formal Views of Profile Content

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

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

This structure is derived from CHEMEDDocumentMedicationCard

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	CHEMEDDocumentMedicationCard	CH EMED Medication Card Document bundle-composition-same-id: The bundle and the composition resources must have the same identifier.
id	D	0..1	id	✕ This element is not supported
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
language	D	0..1	code	✕ This element is not supported
identifier
extension	D	0..*	Extension	✕ This element is not supported
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
type	D	0..1	CodeableConcept	✕ This element is not supported
value	C	1..1	string	The value that is unique urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
total		0..0
link	D	0..*	BackboneElement	✕ This element is not supported
entry		2..*	BackboneElement	Entry in the bundle - will have a resource or information
id	D	0..1	string	✕ This element is not supported
modifierExtension		0..0
link		0..0
fullUrl	C	1..1	uri	URN-encoded UUID for resource urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
search		0..0
request		0..0
response		0..0
entry:Composition		1..1	BackboneElement	Medication card composition
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRCompositionMedicationCard	CH EMED Medication Card Composition
search		0..0
request		0..0
response		0..0
entry:Patient		1..*	BackboneElement	The patient targeted by this medication treatment plan
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRPatient	CH Core Patient EPR (to include the patient in an EPR document)
search		0..0
request		0..0
response		0..0
entry:Practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRPractitioner	CH EMED Practitioner
search		0..0
request		0..0
response		0..0
entry:PractitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRPractitionerRole	CH EMED PractitionerRole
search		0..0
request		0..0
response		0..0
entry:Organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPROrganization	CH EMED Organization
search		0..0
request		0..0
response		0..0
entry:RelatedPerson		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Encounter	D	0..*	BackboneElement	✕ This element is not supported
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Location	D	0..*	BackboneElement	✕ This element is not supported
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Binary		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:MedicationStatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRMedicationStatementCard	CH EMED MedicationStatement (CARD)
search		0..0
request		0..0
response		0..0
entry:ObsBodyWeight		0..1	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRObservationBodyWeight	Measurements and simple assertions
search		0..0
request		0..0
response		0..0
signature	D	0..1	Signature	✕ This element is not supported
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
bundle-composition-same-id	error	Bundle	The bundle and the composition resources must have the same identifier. : identifier.single() = entry[0].resource.identifier.single()
urn-uuid-invariant	error	Bundle.identifier.value, Bundle.entry.fullUrl	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	CHEMEDDocumentMedicationCard	CH EMED Medication Card Document bundle-composition-same-id: The bundle and the composition resources must have the same identifier.
id	Σ	0..1	id	✕ This element is not supported
language		0..1	code	✕ This element is not supported Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
extension		0..*	Extension	✕ This element is not supported 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 . Required Pattern: official
type	Σ	0..1	CodeableConcept	✕ This element is not supported 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 Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH Core: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	SΣ	1..1	instant	The document's creation date and time
link	Σ	0..*	BackboneElement	✕ This element is not supported
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	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource 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	✕ This element is not supported
fullUrl	ΣC	1..1	uri	URN-encoded UUID for resource urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
entry:Composition	SΣC	1..1	BackboneElement	Medication card composition 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
resource		1..1	CHEMEDEPRCompositionMedicationCard	CH EMED Medication Card Composition
entry:Patient	ΣC	1..*	BackboneElement	The patient targeted by this medication treatment plan 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
resource	C	1..1	CHEMEDEPRPatient	CH Core Patient EPR (to include the patient in an EPR document)
entry:Practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource	C	1..1	CHEMEDEPRPractitioner	CH EMED Practitioner
entry:PractitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource		1..1	CHEMEDEPRPractitionerRole	CH EMED PractitionerRole
entry:Organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource	C	1..1	CHEMEDEPROrganization	CH EMED Organization
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource		1..1	Device	Item used in healthcare
entry:Encounter	ΣC	0..*	BackboneElement	✕ This element is not supported 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
resource		1..1	CHCoreEncounter	CH Core Encounter
entry:Location	ΣC	0..*	BackboneElement	✕ This element is not supported 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
resource		1..1	CHCoreLocation	CH Core Location
entry:Binary	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Binary	Pure binary content defined by a format other than FHIR
entry:MedicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRMedicationStatementCard	CH EMED MedicationStatement (CARD)
entry:ObsBodyWeight	SΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRObservationBodyWeight	Measurements and simple assertions
signature	Σ	0..1	Signature	✕ This element is not supported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Bundle.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Device.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Location.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Binary.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:MedicationStatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:ObsBodyWeight.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from 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, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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)
bundle-composition-same-id	error	Bundle	The bundle and the composition resources must have the same identifier. : identifier.single() = entry[0].resource.identifier.single()
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:Binary.fullUrl, Bundle.entry:MedicationStatement.fullUrl, Bundle.entry:ObsBodyWeight.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-core-doc-2	error	Bundle.identifier.value	The identifier must be an UUID : startsWith('urn:uuid:')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	A resource should have narrative for robust management : text.`div`.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()
obs-6	error	Bundle.entry:ObsBodyWeight.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:ObsBodyWeight.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
urn-uuid-invariant	error	Bundle.identifier.value, Bundle.entry.fullUrl	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	CHEMEDDocumentMedicationCard	CH EMED Medication Card Document bundle-composition-same-id: The bundle and the composition resources must have the same identifier.
id	Σ	0..1	id	✕ This element is not supported
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	✕ This element is not supported
lastUpdated	Σ	0..1	instant	✕ This element is not supported
source	Σ	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	✕ This element is not supported Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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 . Required Pattern: official
type	Σ	0..1	CodeableConcept	✕ This element is not supported 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 Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH Core: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	SΣ	1..1	instant	The document's creation date and time
link	Σ	0..*	BackboneElement	✕ This element is not supported
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	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource 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	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URN-encoded UUID for resource urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
resource	Σ	0..1	Resource	A resource in the bundle
entry:Composition	SΣC	1..1	BackboneElement	Medication card composition 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRCompositionMedicationCard	CH EMED Medication Card Composition
entry:Patient	ΣC	1..*	BackboneElement	The patient targeted by this medication treatment plan 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRPatient	CH Core Patient EPR (to include the patient in an EPR document)
entry:Practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRPractitioner	CH EMED Practitioner
entry:PractitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRPractitionerRole	CH EMED PractitionerRole
entry:Organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPROrganization	CH EMED Organization
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Device	Item used in healthcare
entry:Encounter	ΣC	0..*	BackboneElement	✕ This element is not supported 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHCoreEncounter	CH Core Encounter
entry:Location	ΣC	0..*	BackboneElement	✕ This element is not supported 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHCoreLocation	CH Core Location
entry:Binary	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Binary	Pure binary content defined by a format other than FHIR
entry:MedicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRMedicationStatementCard	CH EMED MedicationStatement (CARD)
entry:ObsBodyWeight	SΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRObservationBodyWeight	Measurements and simple assertions
signature	Σ	0..1	Signature	✕ This element is not supported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Bundle.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Bundle.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Bundle.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Device.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Device.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Location.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Location.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Binary.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Binary.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:MedicationStatement.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:MedicationStatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:ObsBodyWeight.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:ObsBodyWeight.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from 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, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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)
bundle-composition-same-id	error	Bundle	The bundle and the composition resources must have the same identifier. : identifier.single() = entry[0].resource.identifier.single()
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:Binary.fullUrl, Bundle.entry:MedicationStatement.fullUrl, Bundle.entry:ObsBodyWeight.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-core-doc-2	error	Bundle.identifier.value	The identifier must be an UUID : startsWith('urn:uuid:')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	A resource should have narrative for robust management : text.`div`.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()
obs-6	error	Bundle.entry:ObsBodyWeight.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:ObsBodyWeight.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
urn-uuid-invariant	error	Bundle.identifier.value, Bundle.entry.fullUrl	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

This structure is derived from CHEMEDDocumentMedicationCard

Summary

Mandatory: 1 element (1 nested mandatory element)
Prohibited: 67 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)
• PMLC Composition (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationcard)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• CH EMED EPR Practitioner (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner)
• CH EMED EPR PractitionerRole (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole)
• PMLC MedicationStatement (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationstatement-card)
• Body Weight Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation-body-weight)

Differential View

This structure is derived from CHEMEDDocumentMedicationCard

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	CHEMEDDocumentMedicationCard	CH EMED Medication Card Document bundle-composition-same-id: The bundle and the composition resources must have the same identifier.
id	D	0..1	id	✕ This element is not supported
meta
extension	D	0..*	Extension	✕ This element is not supported
versionId	D	0..1	id	✕ This element is not supported
lastUpdated	D	0..1	instant	✕ This element is not supported
source	D	0..1	uri	✕ This element is not supported
security	D	0..*	Coding	✕ This element is not supported
tag	D	0..*	Coding	✕ This element is not supported
implicitRules		0..0
language	D	0..1	code	✕ This element is not supported
identifier
extension	D	0..*	Extension	✕ This element is not supported
use		0..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
type	D	0..1	CodeableConcept	✕ This element is not supported
value	C	1..1	string	The value that is unique urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
period	D	0..1	Period	✕ This element is not supported
assigner	D	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
total		0..0
link	D	0..*	BackboneElement	✕ This element is not supported
entry		2..*	BackboneElement	Entry in the bundle - will have a resource or information
id	D	0..1	string	✕ This element is not supported
modifierExtension		0..0
link		0..0
fullUrl	C	1..1	uri	URN-encoded UUID for resource urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
search		0..0
request		0..0
response		0..0
entry:Composition		1..1	BackboneElement	Medication card composition
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRCompositionMedicationCard	CH EMED Medication Card Composition
search		0..0
request		0..0
response		0..0
entry:Patient		1..*	BackboneElement	The patient targeted by this medication treatment plan
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRPatient	CH Core Patient EPR (to include the patient in an EPR document)
search		0..0
request		0..0
response		0..0
entry:Practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRPractitioner	CH EMED Practitioner
search		0..0
request		0..0
response		0..0
entry:PractitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRPractitionerRole	CH EMED PractitionerRole
search		0..0
request		0..0
response		0..0
entry:Organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPROrganization	CH EMED Organization
search		0..0
request		0..0
response		0..0
entry:RelatedPerson		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Encounter	D	0..*	BackboneElement	✕ This element is not supported
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Location	D	0..*	BackboneElement	✕ This element is not supported
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:Binary		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
search		0..0
request		0..0
response		0..0
entry:MedicationStatement		0..*	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRMedicationStatementCard	CH EMED MedicationStatement (CARD)
search		0..0
request		0..0
response		0..0
entry:ObsBodyWeight		0..1	BackboneElement	Entry in the bundle - will have a resource or information
modifierExtension		0..0
link		0..0
resource		1..1	CHEMEDEPRObservationBodyWeight	Measurements and simple assertions
search		0..0
request		0..0
response		0..0
signature	D	0..1	Signature	✕ This element is not supported
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
bundle-composition-same-id	error	Bundle	The bundle and the composition resources must have the same identifier. : identifier.single() = entry[0].resource.identifier.single()
urn-uuid-invariant	error	Bundle.identifier.value, Bundle.entry.fullUrl	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	CHEMEDDocumentMedicationCard	CH EMED Medication Card Document bundle-composition-same-id: The bundle and the composition resources must have the same identifier.
id	Σ	0..1	id	✕ This element is not supported
language		0..1	code	✕ This element is not supported Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
extension		0..*	Extension	✕ This element is not supported 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 . Required Pattern: official
type	Σ	0..1	CodeableConcept	✕ This element is not supported 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 Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH Core: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	SΣ	1..1	instant	The document's creation date and time
link	Σ	0..*	BackboneElement	✕ This element is not supported
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	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource 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	✕ This element is not supported
fullUrl	ΣC	1..1	uri	URN-encoded UUID for resource urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
entry:Composition	SΣC	1..1	BackboneElement	Medication card composition 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
resource		1..1	CHEMEDEPRCompositionMedicationCard	CH EMED Medication Card Composition
entry:Patient	ΣC	1..*	BackboneElement	The patient targeted by this medication treatment plan 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
resource	C	1..1	CHEMEDEPRPatient	CH Core Patient EPR (to include the patient in an EPR document)
entry:Practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource	C	1..1	CHEMEDEPRPractitioner	CH EMED Practitioner
entry:PractitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource		1..1	CHEMEDEPRPractitionerRole	CH EMED PractitionerRole
entry:Organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource	C	1..1	CHEMEDEPROrganization	CH EMED Organization
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
resource		1..1	Device	Item used in healthcare
entry:Encounter	ΣC	0..*	BackboneElement	✕ This element is not supported 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
resource		1..1	CHCoreEncounter	CH Core Encounter
entry:Location	ΣC	0..*	BackboneElement	✕ This element is not supported 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
resource		1..1	CHCoreLocation	CH Core Location
entry:Binary	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Binary	Pure binary content defined by a format other than FHIR
entry:MedicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRMedicationStatementCard	CH EMED MedicationStatement (CARD)
entry:ObsBodyWeight	SΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRObservationBodyWeight	Measurements and simple assertions
signature	Σ	0..1	Signature	✕ This element is not supported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Bundle.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Device.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Location.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Binary.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:MedicationStatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:ObsBodyWeight.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from 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, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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)
bundle-composition-same-id	error	Bundle	The bundle and the composition resources must have the same identifier. : identifier.single() = entry[0].resource.identifier.single()
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:Binary.fullUrl, Bundle.entry:MedicationStatement.fullUrl, Bundle.entry:ObsBodyWeight.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-core-doc-2	error	Bundle.identifier.value	The identifier must be an UUID : startsWith('urn:uuid:')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	A resource should have narrative for robust management : text.`div`.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()
obs-6	error	Bundle.entry:ObsBodyWeight.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:ObsBodyWeight.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
urn-uuid-invariant	error	Bundle.identifier.value, Bundle.entry.fullUrl	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	CHEMEDDocumentMedicationCard	CH EMED Medication Card Document bundle-composition-same-id: The bundle and the composition resources must have the same identifier.
id	Σ	0..1	id	✕ This element is not supported
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	✕ This element is not supported
lastUpdated	Σ	0..1	instant	✕ This element is not supported
source	Σ	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	✕ This element is not supported Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	✕ This element is not supported 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 . Required Pattern: official
type	Σ	0..1	CodeableConcept	✕ This element is not supported 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 Fixed Value: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') Example General: 123456 Example CH Core: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
period	Σ	0..1	Period	✕ This element is not supported
assigner	Σ	0..1	Reference(CH EMED EPR Organization)	✕ This element is not supported
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	SΣ	1..1	instant	The document's creation date and time
link	Σ	0..*	BackboneElement	✕ This element is not supported
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	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource 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	✕ This element is not supported
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URN-encoded UUID for resource urn-uuid-invariant: The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000')
resource	Σ	0..1	Resource	A resource in the bundle
entry:Composition	SΣC	1..1	BackboneElement	Medication card composition 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRCompositionMedicationCard	CH EMED Medication Card Composition
entry:Patient	ΣC	1..*	BackboneElement	The patient targeted by this medication treatment plan 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRPatient	CH Core Patient EPR (to include the patient in an EPR document)
entry:Practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRPractitioner	CH EMED Practitioner
entry:PractitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRPractitionerRole	CH EMED PractitionerRole
entry:Organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPROrganization	CH EMED Organization
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Device	Item used in healthcare
entry:Encounter	ΣC	0..*	BackboneElement	✕ This element is not supported 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHCoreEncounter	CH Core Encounter
entry:Location	ΣC	0..*	BackboneElement	✕ This element is not supported 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
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHCoreLocation	CH Core Location
entry:Binary	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Binary	Pure binary content defined by a format other than FHIR
entry:MedicationStatement	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CHEMEDEPRMedicationStatementCard	CH EMED MedicationStatement (CARD)
entry:ObsBodyWeight	SΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	C	1..1	CHEMEDEPRObservationBodyWeight	Measurements and simple assertions
signature	Σ	0..1	Signature	✕ This element is not supported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Bundle.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Bundle.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Bundle.identifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Device.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Device.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Location.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Location.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Binary.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Binary.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:MedicationStatement.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:MedicationStatement.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:ObsBodyWeight.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:ObsBodyWeight.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from 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, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:Binary, Bundle.entry:MedicationStatement, Bundle.entry:ObsBodyWeight	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)
bundle-composition-same-id	error	Bundle	The bundle and the composition resources must have the same identifier. : identifier.single() = entry[0].resource.identifier.single()
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:Binary.fullUrl, Bundle.entry:MedicationStatement.fullUrl, Bundle.entry:ObsBodyWeight.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-core-doc-2	error	Bundle.identifier.value	The identifier must be an UUID : startsWith('urn:uuid:')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:MedicationStatement.resource, Bundle.entry:ObsBodyWeight.resource	A resource should have narrative for robust management : text.`div`.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()
obs-6	error	Bundle.entry:ObsBodyWeight.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:ObsBodyWeight.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
urn-uuid-invariant	error	Bundle.identifier.value, Bundle.entry.fullUrl	The value shall be an URN-encoded UUID ('urn:uuid:00000000-0000-0000-0000-000000000000') : $this.matches('^urn:uuid:[a-fA-F0-9]{8}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{4}-[a-fA-F0-9]{12}$')

This structure is derived from CHEMEDDocumentMedicationCard

Summary

Mandatory: 1 element (1 nested mandatory element)
Prohibited: 67 elements

Structures

This structure refers to these other structures:

• CH EMED EPR Organization (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-organization)
• PMLC Composition (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-composition-medicationcard)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• CH EMED EPR Practitioner (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitioner)
• CH EMED EPR PractitionerRole (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole)
• PMLC MedicationStatement (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationstatement-card)
• Body Weight Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation-body-weight)