3.98 StructureDefinition: Interaction Bundle 305 - Send Clinician communication
The official URL for this profile is:
http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305
Communication The communication resource includes the ‘message content’ and references to any ‘attachments’ that will be sent as supporting documentation. Along with the technical resource identifier, a business identifier is provided, as well as an identifier that is used to ‘thread’ all related communications. This allows the software systems to have a common base line and build a list of all related communications that were created as a result of this original. The communication resource identifies the participants of the communication. They are represented by references to various ‘practitioner’ resources:
- Enterer
- Reply To
- Sender
- Recipient
The subject of the communication identifies a Patient. A patient resource is optional. If provided, a communication can only be relevant to a single patient.
Profile Links:
The sending system will, in the communication resource, assign URLs for each attachment that will be uploaded to PrescribeIT®. PrescribeIT® will temporarily hold the 305 message (configurable – 20 minutes) and validate that all identified attachments are received, before moving the message to the appropriate MailBox. PrescribeIT® will validate each attachment as they are received. If any errors are detected an HTTP 400 error is returned to the sender.
Once a 305 is retrieved from the inbox, a HTTP GET can be sent to retrieve the attachment using the identifier provided within the 305 message. The “GET” is described as part of the base FHIR specification that is built upon the REST protocol. Further details may be found here.
3.98.2 Formal Views of Profile Content
Download Excel representation
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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This structure is derived from Shared Health Bundle for Messages
| Name | Card. | Type | Constraints and Usage |
|---|---|---|---|
 Bundle | 0..* | Shared Health Bundle for Messages | bdl-2: entry.search only when a search bdl-1: total only when a search or history bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId bdl-3: entry.request only for some types of bundles bdl-4: entry.response only for some types of bundles max1patient: Cannot have no more than 1 patient in one message headerExists: First entry must be a MessageHeader groupIdsSame: GroupIdentifier values must all be the same within a message messageis305: First entry must be a MessageHeader with the messageheader-305 profile Definition: A container for a collection of resources. |
 id | 0..1 | id | Definition: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments: Usage Note: This value is assigned by the PrescribeIT® system upon receipt of a bundle and returned synchronously in the response to that bundle. This ID should not be confused with the traceID that is also returned in the response and is generally used when diagnosing message failures within the PrescribeIT® system logs. The Bundle.id is also used by receiving systems to remove the bundle from their inbox after they have successfully retrieved the bundle. |
| meta | 1..1 | Meta | Definition: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
 profile | 2..* | uri | Slice: Unordered, Open by value:value Definition: A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Comments: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
| profile (baseProfile) | 1..1 | uri | Fixed Value: http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message Definition: A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Comments: Fixed value: http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message |
| profile (messageProfile) | 1..1 | uri | Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 Definition: A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Comments: Fixed value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 |
| tag | 1..* | Coding | Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. |
 tag(version) | 1..1 | Coding | Binding: SharedSpecificationVersion (20210501) (required) Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: Usage Note: This the version of the specification the Bundle claims to be conformant with. |
  system | 1..1 | uri | Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion |
 code | 1..1 | code | Fixed Value: PrescribeIT5.0 Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Comments: Fixed value: PrescribeIT5.0 |
| type | 1..1 | code | Binding: BundleType (required): Indicates the purpose of a bundle - how it was intended to be used. Fixed Value: message Definition: Indicates the purpose of this bundle- how it was intended to be used. Comments: Fixed value: message |
| entry | 4..* | BackboneElement | bdl-5: must be a resource unless there's a request or response bdl-6: The fullUrl element must be present when a resource is present, and not present otherwise tbdl-1: Full URL must end with resource id when present Definition: An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only). |
| fullUrl | 1..1 | uri | Definition: The Absolute URL for the resource. The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: * fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) * Results from operations might involve resources that are not identified. Comments: fullUrl may not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then it SHALL end with the Resource.id. |
| resource | 1..1 | Resource | Definition: The Resources for the entry. |
This structure is derived from Shared Health Bundle for Messages
Summary
Mandatory: 3 elements
Must-Support: 6 elements
Fixed Value: 2 elements
Slices
This structure defines the following Slices:
- The element Bundle.meta.profile is sliced based on the value of value:value
This structure is derived from Shared Health Bundle for Messages
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
 Bundle | SI | 0..* | Shared Health Bundle for Messages | Contains a collection of resources messageis305: First entry must be a MessageHeader with the messageheader-305 profile |
 meta | S | 1..1 | Meta | Metadata about the resource |
 profile | S | 2..* | (Slice Definition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:value |
  profile:messageProfile | S | 1..1 | uri | Profiles this resource claims to conform to Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 |
 tag:version | S | 1..1 | Coding | Tags applied to this resource |
| code | S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PrescribeIT5.0 |
| entry | S | 4..* | BackboneElement | Entry in the bundle - will have a resource, or information |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | SΣI | 0..* | Shared Health Bundle for Messages | Contains a collection of resources messageis305: First entry must be a MessageHeader with the messageheader-305 profile |
 id | SΣ | 0..1 | id | Logical id of this artifact |
 meta | SΣ | 1..1 | Meta | Metadata about the resource |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
 extension | 0..* | Extension | Additional Content defined by implementations | |
| versionId | Σ | 0..1 | id | Version specific identifier |
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
| profile | SΣ | 2..* | (Slice Definition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:value |
| profile:baseProfile | SΣ | 1..1 | uri | Profiles this resource claims to conform to Fixed Value: http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message |
| profile:messageProfile | SΣ | 1..1 | uri | Profiles this resource claims to conform to Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 |
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
| tag | SΣ | 1..* | (Slice Definition) | Tags applied to this resource Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" |
| tag:version | SΣ | 1..1 | Coding | Tags applied to this resource Binding: SharedSpecificationVersion (20210501) (required) |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PrescribeIT5.0 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: http://tools.ietf.org/html/bcp47 (required): A human language. | |
| type | SΣ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it was intended to be used. Fixed Value: message |
| total | ΣI | 0..1 | unsignedInt | If search, the total number of matches |
| link | Σ | 0..* | BackboneElement | Links related to this Bundle |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| relation | Σ | 1..1 | string | http://www.iana.org/assignments/link-relations/link-relations.xhtml |
| url | Σ | 1..1 | uri | Reference details for the link |
| entry | SΣI | 4..* | BackboneElement | Entry in the bundle - will have a resource, or information |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| fullUrl | SΣ | 1..1 | uri | Absolute URL for resource (server address, or UUID/OID) |
| resource | SΣ | 1..1 | Resource | A resource in the bundle |
| signature | Σ | 0..1 | Signature | Digital Signature |
| Documentation for this format | ||||
Grid View
This structure is derived from Shared Health Bundle for Messages
| Name | Card. | Type | Constraints and Usage |
|---|---|---|---|
| Bundle | 0..* | Shared Health Bundle for Messages | bdl-2: entry.search only when a search bdl-1: total only when a search or history bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId bdl-3: entry.request only for some types of bundles bdl-4: entry.response only for some types of bundles max1patient: Cannot have no more than 1 patient in one message headerExists: First entry must be a MessageHeader groupIdsSame: GroupIdentifier values must all be the same within a message messageis305: First entry must be a MessageHeader with the messageheader-305 profile Definition: A container for a collection of resources. |
| id | 0..1 | id | Definition: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments: Usage Note: This value is assigned by the PrescribeIT® system upon receipt of a bundle and returned synchronously in the response to that bundle. This ID should not be confused with the traceID that is also returned in the response and is generally used when diagnosing message failures within the PrescribeIT® system logs. The Bundle.id is also used by receiving systems to remove the bundle from their inbox after they have successfully retrieved the bundle. |
| meta | 1..1 | Meta | Definition: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. |
| profile | 2..* | uri | Slice: Unordered, Open by value:value Definition: A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Comments: It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. |
| profile (baseProfile) | 1..1 | uri | Fixed Value: http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message Definition: A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Comments: Fixed value: http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message |
| profile (messageProfile) | 1..1 | uri | Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 Definition: A list of profiles [[[StructureDefinition]]]s that this resource claims to conform to. The URL is a reference to [[[StructureDefinition.url]]]. Comments: Fixed value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 |
| tag | 1..* | Coding | Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. |
| tag (version) | 1..1 | Coding | Binding: SharedSpecificationVersion (20210501) (required) Definition: Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments: Usage Note: This the version of the specification the Bundle claims to be conformant with. |
| system | 1..1 | uri | Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion Definition: The identification of the code system that defines the meaning of the symbol in the code. Comments: Fixed value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion |
| code | 1..1 | code | Fixed Value: PrescribeIT5.0 Definition: A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Comments: Fixed value: PrescribeIT5.0 |
| type | 1..1 | code | Binding: BundleType (required): Indicates the purpose of a bundle - how it was intended to be used. Fixed Value: message Definition: Indicates the purpose of this bundle- how it was intended to be used. Comments: Fixed value: message |
| entry | 4..* | BackboneElement | bdl-5: must be a resource unless there's a request or response bdl-6: The fullUrl element must be present when a resource is present, and not present otherwise tbdl-1: Full URL must end with resource id when present Definition: An entry in a bundle resource - will either contain a resource, or information about a resource (transactions and history only). |
| fullUrl | 1..1 | uri | Definition: The Absolute URL for the resource. The fullUrl SHALL not disagree with the id in the resource. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: * fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle) * Results from operations might involve resources that are not identified. Comments: fullUrl may not be unique in the context of a resource. Note that since FHIR resources do not need to be served through the FHIR API, the absolute URL may not end with the logical id of the resource (Resource.id), but if the fullUrl does look like a RESTful server URL (e.g. meets the regex, then it SHALL end with the Resource.id. |
| resource | 1..1 | Resource | Definition: The Resources for the entry. |
This structure is derived from Shared Health Bundle for Messages
Summary
Mandatory: 3 elements
Must-Support: 6 elements
Fixed Value: 2 elements
Slices
This structure defines the following Slices:
- The element Bundle.meta.profile is sliced based on the value of value:value
Differential View
This structure is derived from Shared Health Bundle for Messages
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | SI | 0..* | Shared Health Bundle for Messages | Contains a collection of resources messageis305: First entry must be a MessageHeader with the messageheader-305 profile |
| meta | S | 1..1 | Meta | Metadata about the resource |
| profile | S | 2..* | (Slice Definition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:value |
| profile:messageProfile | S | 1..1 | uri | Profiles this resource claims to conform to Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 |
| tag:version | S | 1..1 | Coding | Tags applied to this resource |
| code | S | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PrescribeIT5.0 |
| entry | S | 4..* | BackboneElement | Entry in the bundle - will have a resource, or information |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | SΣI | 0..* | Shared Health Bundle for Messages | Contains a collection of resources messageis305: First entry must be a MessageHeader with the messageheader-305 profile |
| id | SΣ | 0..1 | id | Logical id of this artifact |
| meta | SΣ | 1..1 | Meta | Metadata about the resource |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| versionId | Σ | 0..1 | id | Version specific identifier |
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
| profile | SΣ | 2..* | (Slice Definition) | Profiles this resource claims to conform to Slice: Unordered, Open by value:value |
| profile:baseProfile | SΣ | 1..1 | uri | Profiles this resource claims to conform to Fixed Value: http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message |
| profile:messageProfile | SΣ | 1..1 | uri | Profiles this resource claims to conform to Fixed Value: http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-305 |
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
| tag | SΣ | 1..* | (Slice Definition) | Tags applied to this resource Slice: Unordered, Open by value:system Binding: (unbound) (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" |
| tag:version | SΣ | 1..1 | Coding | Tags applied to this resource Binding: SharedSpecificationVersion (20210501) (required) |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PrescribeIT5.0 |
| display | Σ | 0..1 | string | Representation defined by the system |
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: http://tools.ietf.org/html/bcp47 (required): A human language. | |
| type | SΣ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it was intended to be used. Fixed Value: message |
| total | ΣI | 0..1 | unsignedInt | If search, the total number of matches |
| link | Σ | 0..* | BackboneElement | Links related to this Bundle |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| relation | Σ | 1..1 | string | http://www.iana.org/assignments/link-relations/link-relations.xhtml |
| url | Σ | 1..1 | uri | Reference details for the link |
| entry | SΣI | 4..* | BackboneElement | Entry in the bundle - will have a resource, or information |
| id | 0..1 | id | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| fullUrl | SΣ | 1..1 | uri | Absolute URL for resource (server address, or UUID/OID) |
| resource | SΣ | 1..1 | Resource | A resource in the bundle |
| signature | Σ | 0..1 | Signature | Digital Signature |
| Documentation for this format | ||||
Other representations of profile: Schematron
3.98.3 Terminology Bindings
Terminology Bindings
| Path | Conformance | ValueSet / Code |
| Bundle.meta.security | extensible | All Security Labels |
| Bundle.meta.tag | example | |
| Bundle.meta.tag:version | required | Fixed Value: PrescribeIT5.0 |
| Bundle.language | required | http://tools.ietf.org/html/bcp47 |
| Bundle.type | required | Fixed Value: message |
| Bundle.entry.search.mode | required | SearchEntryMode |
| Bundle.entry.request.method | required | HTTPVerb |
3.98.4 Constraints
Constraints
| Id | Path | Details | Requirements |
| bdl-2 | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') | |
| bdl-1 | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') | |
| bdl-7 | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId : entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() | |
| bdl-3 | Bundle | entry.request only for some types of bundles : entry.request.empty() or type = 'batch' or type = 'transaction' or type = 'history' | |
| bdl-4 | Bundle | entry.response only for some types of bundles : entry.response.empty() or type = 'batch-response' or type = 'transaction-response' | |
| max1patient | Bundle | Cannot have no more than 1 patient in one message : entry.select(resource as Patient).count()<=1 | |
| headerExists | Bundle | First entry must be a MessageHeader : entry[0].resource.is(MessageHeader) | |
| groupIdsSame | Bundle | GroupIdentifier values must all be the same within a message : entry.resource.extension('http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier').value.value.distinct().count()<=1 | |
| messageis305 | Bundle | First entry must be a MessageHeader with the messageheader-305 profile : entry[0].resource.meta.where(profile='http://prescribeit.ca/fhir/StructureDefinition/interaction-messageheader-305').exists() | |
| bdl-5 | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() | |
| bdl-6 | Bundle.entry | The fullUrl element must be present when a resource is present, and not present otherwise : fullUrl.empty() xor resource.exists() | |
| tbdl-1 | Bundle.entry | Full URL must end with resource id when present : fullUrl.exists().not() or resource.id.exists().not() or fullUrl.endsWith($this.resource.id) |