Da Vinci Risk Adjustment Implementation Guide
2.0.0-ballot - STU2 Ballot

Publication Build: This will be filled in by the publication tooling

## Resource Profile: Risk Adjustment SearchSet Bundle

Official URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-searchset-bundle | Version: 2.0.0-ballot
Active as of 2023-03-28 | Computable Name: RASearchSetBundle
Copyright/Legal: Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License

A SearchSet Bundle with entries that include resources for risk adjustment coding gap clinical evaluation evidence and the fullUrl of the resource.

New Profile: Risk Adjustment SearchSet Bundle

This profile builds on Bundle.

### Mandatory Data Elements and Terminology

The following data-elements must always be present (Mandatory) or must be supported (Must Support). The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Bundle must have:

1. A `Bundle.type` with a fixed code “searchset”

Each Bundle should have ([Must Support]):

1. One to many `Bundle.entry`, and each `entry` SHALL contain exactly one `fullUrl` and exactly one `resource`

Usage:

- Refer to this Resource Profile: Risk Adjustment Clinical Evaluation Evidence Task
- Examples for this Resource Profile: Bundle/ra-searchsetbundle01pat01

### 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 Bundle

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Bundle |  | 0..* | Bundle | Contains a collection of resources
type | S | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: searchset
entry | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | Resource | A resource in the bundle
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
type | S Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: searchset
entry | S Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Bundle.type | required | Fixed Value: searchset

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() |
bdl-8 | error | Bundle.entry | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) |
bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) |
bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) |
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | Σ | 0..1 | Identifier | Persistent identifier for the bundle
type | S Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: searchset
timestamp | Σ | 0..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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
entry | S Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
signature | Σ TU | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Bundle.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Bundle.type | required | Fixed Value: searchset
Bundle.entry.search.mode | required | SearchEntryMode
Bundle.entry.request.method | required | HTTPVerb

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-5 | error | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-8 | error | Bundle.entry | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 1 element

Differential View

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Bundle |  | 0..* | Bundle | Contains a collection of resources
type | S | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: searchset
entry | S | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | Resource | A resource in the bundle
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
type | S Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: searchset
entry | S Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Bundle.type | required | Fixed Value: searchset

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() |
bdl-8 | error | Bundle.entry | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) |
bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) |
bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) |
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | Σ | 0..1 | Identifier | Persistent identifier for the bundle
type | S Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: searchset
timestamp | Σ | 0..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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
entry | S Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
search | Σ C | 0..1 | BackboneElement | Search related information
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
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1)
request | Σ C | 0..1 | BackboneElement | Additional execution information (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry
ifNoneMatch | Σ | 0..1 | string | For managing cache currency
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency
ifMatch | Σ | 0..1 | string | For managing update contention
ifNoneExist | Σ | 0..1 | string | For conditional creates
response | Σ C | 0..1 | BackboneElement | Results of execution (transaction/batch/history)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | Σ | 1..1 | string | Status response code (text optional)
location | Σ | 0..1 | uri | The location (if the operation returns a location)
etag | Σ | 0..1 | string | The Etag for the resource (if relevant)
lastModified | Σ | 0..1 | instant | Server's date time modified
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction)
signature | Σ TU | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Bundle.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
Bundle.type | required | Fixed Value: searchset
Bundle.entry.search.mode | required | SearchEntryMode
Bundle.entry.request.method | required | HTTPVerb

#### Constraints

Id | Grade | Path(s) | Details | Requirements
bdl-5 | error | Bundle.entry | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-8 | error | Bundle.entry | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 1 element

Other representations of profile: CSV, Excel, Schematron