Purpose

The SHINNY Bundle resource is profiled off of the base FHIR profile, which sets minimum expectations for the Bundle resource for searching and fetching a Bundle. One common operation performed with resources is to gather a collection of resources into a single instance with containing context. In FHIR this is referred to as "bundling" the resources together. The SHINNY Bundle is primarily used to group resources. This profile identifies core elements, extensions, vocabularies and value sets that SHALL be present when using this resource.

Usage

The Bundle profile is required for all screening, assessment and referral bundles.

Tagging Bundles with Sensitive Information

42 CFR Part 2 Data

When submitting data from a 42 CFR Part 2 organization, the Bundle containing information from this organization should be tagged using the meta.security attribute within the FHIR IG spec. The code that should be used is "ETH" representing "substance abuse information sensitivity". This code can be found in this ValueSet. See the example for more details.

Office of Mental Health (OMH) Data

When submitting data from the Office of Mental Health (OMH), the Bundle containing information from this organization should be tagged using the meta.security attribute within the FHIR IG spec. The code that should be used is "MH" representing "mental health information sensitivity". This code can be found in this ValueSet. See the example for more details.

Office for People With Developmental Disabilities (OPWDD) Data

When submitting data from the Office for People With Developmental Disabilities (OPWDD), the Bundle containing information from this organization should be tagged using the meta.security attribute within the FHIR IG spec. The code that should be used is "DVD" representing "developmental disability information sensitivity". This code can be found in this ValueSet. See the example for more details.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, SHINNY-Patient-MRN, SHINNY-Patient-MA, SHINNY-Patient-SSN, SHINNY-Patient-Address, SHINNY-Patient-DOB, SHINNY-Patient-Gender, SHINNY-Patient-GenderId, SHINNY-Patient-Race-Ethnicity, SHINNY-Patient-Communication, SHINNY-Patient-MiddleName, SHINNY-Patient-Pronouns, shinny-sexual-orientation, SHINNY-Bundle-Obs-hasMember-RI, SHINNY-Encounter-Class, SHINNY-Encounter-Type, Encounter-PeriodStart, Encounter-PeriodEnd, SHINNY-Obs-Encounter, SHINNY-Obs-Patient, SHINNY-Obs-Code, SHINNY-Obs-Category, SHINNY-Screening-Patient, ObservationScreenRes-Langauge, ObservationScreenRes-CategoryDisplay, ObservationScreenRes-CodeCode, ObservationScreenRes-CodeDisplay, ObservationScreenRes-Interpretation, SHINNY-Screening-Consent, Assessment-ConditionID, Assessment-ConditionSNOMED, Assessment-ConditionICD10, Assessment-ApprovalQuestionnaire, Assessment-OutreachQuestionnaire, Assessment-AdminQuestionnaire, Assessment-ServiceDupQuestionnaire, SHINNY-Assessment-Encounter, SHINNY-Assessment-Patient, ServiceRequest-Quantity, ServiceRequest-CategoryCode, ServiceRequest-OccurrencePeriod, ServiceRequest-AuthoredOn, SHINNYServiceRequestSDOHCategory, Task-StatusReason, Task-Repetitions, Task-EndPeriod, Task-StartPeriod, Referral-ApprovalQuestionnaire, Referral-HRSNOutreachQuestionnaire, Referral-SCNOutreachQuestionnaire, SHINNY-Bundle-Required-Resources, SHINNY-Bundle-Required, SHINNY-Bundle-Patient-Org-RI, SHINNY-Bundle-Encounter-RI, SHINNY-Bundle-Obs-derivedFrom-RI, SHINNY-Bundle-Obs-Patient-RI, SHINNY-Bundle-Obs-Encounter-RI, Screening-Crosswalk-44250-9, Screening-Crosswalk-44255-8, Screening-Crosswalk-68516-4, Screening-Crosswalk-68517-2, Screening-Crosswalk-68524-8, Screening-Crosswalk-69858-9, Screening-Crosswalk-69861-3, Screening-Crosswalk-71802-3, Screening-Crosswalk-76513-1, Screening-Crosswalk-88122-7, Screening-Crosswalk-88123-5, Screening-Crosswalk-89555-7, Screening-Crosswalk-93030-5, Screening-Crosswalk-93038-8, Screening-Crosswalk-93159-2, Screening-Crosswalk-95530-2, Screening-Crosswalk-95615-1, Screening-Crosswalk-95616-9, Screening-Crosswalk-95617-7, Screening-Crosswalk-95618-5, Screening-Crosswalk-96778-6, Screening-Crosswalk-96779-4, Screening-Crosswalk-96780-2, Screening-Crosswalk-96781-0, Screening-Crosswalk-96782-8, Screening-Crosswalk-96842-0, Screening-Crosswalk-97027-7, SHINNY-Consent-Category, Consent-ProvisionType, SHINNY-Bundle-screening-consent, Goal-StatusDate, Goal-AchievementStatus, Location-Address, Location-Type, Organization-Address, Organization-Type, SHINNY-Resources-Profile-Check
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	SHINNYMeta	Metadata about the resource
lastUpdated	SΣ	1..1	instant	When the resource version was created or last changed
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
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: SHINNYLanguageVS (preferred)
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	SHINNYLanguageVS	📦1.9.3	This IG
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
Assessment-AdminQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|EnhancedPopulationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ServiceDuplicationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ClinicalCriteriaCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ApprovalQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to PatientAssessmentApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ConditionICD10	warning	Bundle	Ensure that all final assessments have a Condition ICD-10 term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://hl7.org/fhir/sid/icd-10-cm')) .count() and entry.select(resource as Condition).count() !=0
Assessment-ConditionID	warning	Bundle	Ensure that all final assessments have a Condition identifier.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status = 'final').exists() implies entry.select(resource as Observation) .where( meta.profile.contains('shinny-observation-assessment') and status = 'final' ).count() = entry.select(resource as Condition).id.count()
Assessment-ConditionSNOMED	warning	Bundle	Ensure that all final assessments have a Condition category SNOMED term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://snomed.info/sct')) .count() and entry.select(resource as Condition).count() !=0
Assessment-OutreachQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles with patient approval contain a Patient Assessment Outreach Date and a Patient Assessment Status.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachStatus)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ServiceDupQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentHousingProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalEducationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalServicesProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentFoodServiceProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentSNAPProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentWICProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTANFProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTransportationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicationRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|BreastMilkRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ADLs/IADLsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicalRespiteRequirementsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ChildcareAssistanceIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Consent-ProvisionType	warning	Bundle	Ensure that all Consents include a value for provision type.	entry.select(resource as Consent) .all(provision.type.exists())
Encounter-PeriodEnd	warning	Bundle	Ensure that all finished Encounters include a value for period.end.	entry.select(resource as Encounter) .where(status.contains('finished')) .all(period.end.exists())
Encounter-PeriodStart	warning	Bundle	Ensure that all Encounters include a value for period.start.	entry.select(resource as Encounter) .all(period.start.exists())
Goal-AchievementStatus	warning	Bundle	Ensure that all Goals include a value for achivementStatus.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(achievementStatus.exists())
Goal-StatusDate	warning	Bundle	Ensure that all Goals include a value for statusDate.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(statusDate.exists())
Location-Address	warning	Bundle	Ensure that all Location resources include all address elements.	entry.select(resource as Location). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Location-Type	warning	Bundle	Ensure that all Location resources include a value for type.	entry.select(resource as Location).exists() implies entry.select(resource as Location).all(type.exists())
ObservationScreenRes-CategoryDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a category display.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .category.coding.where( system.contains('/CodeSystem/observation-category').not() ). all(display.exists())
ObservationScreenRes-CodeCode	warning	Bundle	Ensure that all Observation Screening Responses have a code code.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(code.exists())
ObservationScreenRes-CodeDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a code dispay.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(display.exists())
ObservationScreenRes-Interpretation	warning	Bundle	Ensure that specific Observation Screening Responses have an interpretation.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .where(derivedFrom.exists().not()) .all(interpretation.exists())
ObservationScreenRes-Langauge	warning	Bundle	Ensure that all Observation Screening Responses have a language.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .all(language.exists())
Organization-Address	warning	Bundle	Ensure that all Organization resources include all address elements.	entry.select(resource as Organization). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Organization-Type	warning	Bundle	Ensure that all Organization resources include a value for type.	entry.select(resource as Organization).exists() implies entry.select(resource as Organization).all(type.exists())
Referral-ApprovalQuestionnaire	warning	Bundle	Ensure that all Referral Questionnaire bundles have a response to PatientReferralApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-HRSNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to HRSNServiceProviderReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|HRSNServiceProviderReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-SCNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to SCNReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|SCNReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
SHINNY-Assessment-Encounter	error	Bundle	Assessment-Encounter should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(encounter.reference.exists().not()) .count()=0
SHINNY-Assessment-Patient	error	Bundle	Assessment-Subject should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(subject.reference.exists().not()) .count()=0
SHINNY-Bundle-Encounter-RI	error	Bundle	Checks for RI between all resources & Encounter	entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .intersect( entry.select(resource as Encounter).id ) .count() = entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .count()
SHINNY-Bundle-Obs-Encounter-RI	error	Bundle	Checks for RI between Screening Obs & Encounter	entry.select(resource as Observation) .exists(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) .select(encounter.reference.split('/')[1]).distinct() = entry.select(resource as Encounter).id
SHINNY-Bundle-Obs-Patient-RI	error	Bundle	Checks for RI between Obs & Patient	entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')).count()>1 implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')) .encounter.reference.distinct() .contains(entry.select(resource as Encounter).id)
SHINNY-Bundle-Obs-derivedFrom-RI	error	Bundle	Checks for RI between Observation & child Observation	entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .derivedFrom.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(derivedFrom.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .derivedFrom.reference .count()
SHINNY-Bundle-Obs-hasMember-RI	error	Bundle	Checks for RI between Observation & child Observations	entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .hasMember.reference .count() and (entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).exists() implies entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).id) .count() = entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).count())
SHINNY-Bundle-Patient-Org-RI	error	Bundle	Checks for RI between Patient & Assigning Org	entry.select(resource as Organization).id contains entry.select(resource as Patient) .identifier.where(type.coding.code='MR') .assigner.reference.split('/')[1]
SHINNY-Bundle-Required	error	Bundle	Every submitted resource should be part of a bundle.	select($this as Bundle).exists()
SHINNY-Bundle-Required-Resources	error	Bundle	Every bundle should always have one and only one 'Patient' & 'Encounter' and atleast one Org	entry.select(resource as Patient).count() = 1 and entry.select(resource as Encounter).count() > 0 and entry.select(resource as Organization).count() > 0
SHINNY-Bundle-screening-consent	error	Bundle	Ensures all bundles with a screening included also includes the consent profile.	( (select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() > 0) and ( entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening')).count() > 0 ) ) implies entry.select(resource as Consent).exists()
SHINNY-Consent-Category	warning	Bundle	Patient Consent category code is 59284-0	entry.select(resource as Consent).exists() implies entry.select(resource as Consent).category.coding.where(code='59284-0').exists()
SHINNY-Encounter-Class	warning	Bundle	Ensure that the Encounter resource has a class code; Ensure that the Encounter resource has a class code system	entry.select(resource as Encounter).class .all(code.exists() and system.exists())
SHINNY-Encounter-Type	warning	Bundle	Ensure that the Encounter resource has a status code	entry.select(resource as Encounter).type.coding .all(code.exists() and system.exists())
SHINNY-Obs-Category	error	Bundle	Ensure that all Observation categories have an SDOH code	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
SHINNY-Obs-Code	warning	Bundle	Ensure that all Observation resources have screening code; Ensure that all Observation resources have screening code system	entry.select(resource as Observation).where( code.coding.system.exists().not() or code.coding.code.not().exists().not()) .count() = 0
SHINNY-Obs-Encounter	warning	Bundle	SDOH Observations should have an Encounter	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')) .all(encounter.reference.exists())
SHINNY-Obs-Patient	warning	Bundle	SDOH Observations should have a Patient	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation')) .all(subject.reference.exists())
SHINNY-Patient-Address	warning	Bundle	All elements of address should be present	entry.select(resource as Patient). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
SHINNY-Patient-Communication	warning	Bundle	Communication should exist	entry.select(resource as Patient).communication.exists()
SHINNY-Patient-DOB	error	Bundle	birthDate should be a valid date	entry.select(resource as Patient).birthDate.trim().length() = 10 and entry.select(resource as Patient).birthDate.trim().split('-').count() = 3
SHINNY-Patient-Gender	error	Bundle	Gender should be present	entry.select(resource as Patient).where(gender.exists() and gender.trim().length()).count() > 0
SHINNY-Patient-GenderId	warning	Bundle	Gender Id should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').count() > 0
SHINNY-Patient-MA	error	Bundle	Every bundle should always have only 1 Medicaid CIN (i.e MA) Object within patient.identifier AND the CIN is always in the format of 2 letters, 5 numbers, and 1 letter, e.g., 'AB12345C'	entry.select(resource as Patient).identifier.where(type.coding.code='MA' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where( value.trim().length() = 8 and type.coding.code='MA' and value.substring(0,1).matches('^[a-zA-Z]+$') and value.substring(1,1).matches('^[a-zA-Z]+$') and value.substring(2,1).matches('^[0-9]*$') and value.substring(3,1).matches('^[0-9]*$') and value.substring(4,1).matches('^[0-9]*$') and value.substring(5,1).matches('^[0-9]*$') and value.substring(6,1).matches('^[0-9]*$') and value.substring(7,1).matches('^[a-zA-Z]+$') ).exists()
SHINNY-Patient-MRN	error	Bundle	Every bundle should always have only 1 MR (i.e MRN) Object within patient.identifier, system.contains('facility') and value (MRN) is provided	entry.select(resource as Patient).identifier.where(type.coding.code='MR' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where(system.contains('facility'))
SHINNY-Patient-MiddleName	warning	Bundle	MiddleName should be present	entry.select(resource as Patient).name .extension.where(url.contains('middle-name')) .value.trim().length()>0
SHINNY-Patient-Pronouns	warning	Bundle	Pronouns should be present	entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS').exists() implies entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS' and value.select($this as CodeableConcept).coding.code.exists()).exists()
SHINNY-Patient-Race-Ethnicity	warning	Bundle	Race & Ethnicity should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.where(url='ombCategory' and value.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists().not() implies entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').exists() and entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').exists()
SHINNY-Patient-SSN	warning	Bundle	Every bundle should always have only 1 SSN (i.e SS) Object within patient.identifier	entry.select(resource as Patient).identifier.where(type.coding.code='SS' and value.trim().length() > 0).count() <= 1
SHINNY-Resources-Profile-Check	error	Bundle	SHINNY-Resources-Profile-Check	select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() = 0 and ( entry.select(resource as Patient).exists() implies entry.select(resource as Patient).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-patient'.upper()).count() = 0 ) and ( entry.select(resource as Encounter).exists() implies entry.select(resource as Encounter).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-encounter'.upper()).count() = 0 ) and ( entry.select(resource as Observation).exists() implies entry.select(resource as Observation).meta.where(profile.upper().startsWith('http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation'.upper()).not()).count() = 0 ) and ( entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest'.upper()).count() = 0 ) and ( entry.select(resource as Task).exists() implies entry.select(resource as Task).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHTaskForReferralManagement'.upper()).count() = 0 ) and ( entry.select(resource as Consent).exists() implies entry.select(resource as Consent).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-Consent'.upper()).count() = 0 ) .allTrue()
SHINNY-Screening-Consent	error	Bundle	All screening bundles must include a consent	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')).exists() implies entry.select(resource as Consent).exists()
SHINNY-Screening-Patient	error	Bundle	SDOH Screening Observations should have an Patient	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening') and hasMember.exists()) .all(subject.reference.exists())
SHINNYServiceRequestSDOHCategory	error	Bundle	Ensure that all Service Request categories have an SDOH code	entry.select(resource as ServiceRequest) .where(meta.profile.contains('SHINNYSDOHServiceRequest')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
Screening-Crosswalk-44255-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44255-8 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44255-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44255-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44255-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-44250-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44250-9 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44250-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44250-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44250-9') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-68517-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68517-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68517-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68517-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68517-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-68516-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68516-4 then answer codes must be one of the following: LA6111-4 LA13942-0 LA19282-5 LA28855-7 LA28858-1 LA28854-0 LA28853-2 LA28891-2 LA32059-0 LA32060-8	entry.select(resource as Observation).where(code.coding.code contains '68516-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68516-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68516-4') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA13942-0' or code='LA19282-5' or code='LA28855-7' or code='LA28858-1' or code='LA28854-0' or code='LA28853-2' or code='LA28891-2' or code='LA32059-0' or code='LA32060-8').exists()
Screening-Crosswalk-68524-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68524-8 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68524-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68524-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68524-8') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-69858-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69858-9 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69858-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69858-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69858-9') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-69861-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69861-3 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69861-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69861-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69861-3') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-71802-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 71802-3 then answer codes must be one of the following: LA31993-1, LA31994-9, LA31995-6	entry.select(resource as Observation).where(code.coding.code contains '71802-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '71802-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '71802-3') .value.select($this as CodeableConcept).coding .where(code='LA31993-1' or code='LA31994-9' or code='LA31995-6').exists()
Screening-Crosswalk-76513-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 76513-1 then answer codes must be one of the following: LA15832-1 LA22683-9 LA31980-8	entry.select(resource as Observation).where(code.coding.code contains '76513-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '76513-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '76513-1') .value.select($this as CodeableConcept).coding .where(code='LA15832-1' or code='LA22683-9' or code='LA31980-8').exists()
Screening-Crosswalk-88123-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88123-5 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88123-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88123-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88123-5') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-88122-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88122-7 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88122-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88122-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88122-7') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-89555-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 89555-7 then answer codes must be one of the following: LA6111-4 LA6112-2 LA6113-0 LA6114-8 LA6115-5 LA10137-0 LA10138-8 LA10139-6	entry.select(resource as Observation).where(code.coding.code contains '89555-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '89555-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '89555-7') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA6112-2' or code='LA6113-0' or code='LA6114-8' or code='LA6115-5' or code='LA10137-0' or code='LA10138-8' or code='LA10139-6').exists()
Screening-Crosswalk-93030-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93030-5 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '93030-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93030-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93030-5') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-93038-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93038-8 then answer codes must be one of the following: LA6568-5 LA13863-8 LA13909-9 LA13902-4 LA13914-9 LA30122-8	entry.select(resource as Observation).where(code.coding.code contains '93038-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93038-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93038-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA13863-8' or code='LA13909-9' or code='LA13902-4' or code='LA13914-9' or code='LA30122-8').exists()
Screening-Crosswalk-93159-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93159-2 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA10044-8 LA9933-8	entry.select(resource as Observation).where(code.coding.code contains '93159-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93159-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93159-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA10044-8' or code='LA9933-8').exists()
Screening-Crosswalk-95530-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95530-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '95530-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95530-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95530-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-95615-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95615-1 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95615-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95615-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95615-1') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95618-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95618-5 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95618-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95618-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95618-5') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95617-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95617-7 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95617-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95617-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95617-7') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95616-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95616-9 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95616-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95616-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95616-9') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-96779-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96779-4 then answer codes must be one of the following: LA33-6 LA32-8 LA32002-0	entry.select(resource as Observation).where(code.coding.code contains '96779-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96779-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96779-4') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8' or code='LA32002-0').exists()
Screening-Crosswalk-96778-6	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96778-6 then answer codes must be one of the following: LA31996-4 LA28580-1 LA31997-2 LA31998-0 LA31999-8 LA32000-4 LA32001-2 LA9-3	entry.select(resource as Observation).where(code.coding.code contains '96778-6').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96778-6').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96778-6') .value.select($this as CodeableConcept).coding .where(code='LA31996-4' or code='LA28580-1' or code='LA31997-2' or code='LA31998-0' or code='LA31999-8' or code='LA32000-4' or code='LA32001-2' or code='LA9-3').exists()
Screening-Crosswalk-96781-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96781-0 then answer codes must be one of the following: LA31976-6 LA31977-4 LA31978-2 LA31979-0	entry.select(resource as Observation).where(code.coding.code contains '96781-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96781-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96781-0') .value.select($this as CodeableConcept).coding .where(code='LA31976-6' or code='LA31977-4' or code='LA31978-2' or code='LA31978-2').exists()
Screening-Crosswalk-96780-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96780-2 then answer codes must be one of the following: LA31981-6 LA31982-4 LA31983-2	entry.select(resource as Observation).where(code.coding.code contains '96780-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96780-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96780-2') .value.select($this as CodeableConcept).coding .where(code='LA31981-6' or code='LA31982-4' or code='LA31983-2').exists()
Screening-Crosswalk-96782-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96782-8 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '96782-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96782-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96782-8') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-96842-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96842-0 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '96842-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96842-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96842-0') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-97027-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 97027-7 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '97027-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '97027-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '97027-7') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
ServiceRequest-AuthoredOn	warning	Bundle	Ensure that all Service Requests have a authored on date.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).all(authoredOn.exists())
ServiceRequest-CategoryCode	warning	Bundle	Ensure that all Service Requests have a category code.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).( all(category.exists()) and category.all(coding.exists()) and category.coding.all(code.exists()) )
ServiceRequest-OccurrencePeriod	warning	Bundle	Ensure that all Service Requests have an occurrence period start and end, or occurrence datetime.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).count() = ( entry.select(resource as ServiceRequest).where(occurrence is Period).select(occurrence) .where(start and end).count() + entry.select(resource as ServiceRequest).where(occurrence is dateTime).count() )
ServiceRequest-Quantity	warning	Bundle	Ensure that all Service Requests have a quantity.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest) .all(quantity.value.exists())
Task-EndPeriod	warning	Bundle	Ensure that all completed Tasks have an end execution period.	entry.select(resource as Task).where(status = 'completed').exists() implies entry.select(resource as Task).where(status = 'completed').all(executionPeriod.end.exists())
Task-Repetitions	warning	Bundle	Ensure that all Tasks have a value for repetitions.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(restriction.repetitions.exists())
Task-StartPeriod	warning	Bundle	Ensure that all Tasks have a starting execution period.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(executionPeriod.start.exists())
Task-StatusReason	error	Bundle	Ensure that all tasks exists, have a statusReason If the Task.status is rejected, cancelled, completed, or failed.	entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed').exists() implies entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed') .all(statusReason.text.exists())
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-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-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())
shinny-sexual-orientation	warning	Bundle	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')) .where(value.exists() or dataAbsentReason.exists()) .count()=1

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: SHINNY-Patient-MRN, SHINNY-Patient-MA, SHINNY-Patient-SSN, SHINNY-Patient-Address, SHINNY-Patient-DOB, SHINNY-Patient-Gender, SHINNY-Patient-GenderId, SHINNY-Patient-Race-Ethnicity, SHINNY-Patient-Communication, SHINNY-Patient-MiddleName, SHINNY-Patient-Pronouns, shinny-sexual-orientation, SHINNY-Bundle-Obs-hasMember-RI, SHINNY-Encounter-Class, SHINNY-Encounter-Type, Encounter-PeriodStart, Encounter-PeriodEnd, SHINNY-Obs-Encounter, SHINNY-Obs-Patient, SHINNY-Obs-Code, SHINNY-Obs-Category, SHINNY-Screening-Patient, ObservationScreenRes-Langauge, ObservationScreenRes-CategoryDisplay, ObservationScreenRes-CodeCode, ObservationScreenRes-CodeDisplay, ObservationScreenRes-Interpretation, SHINNY-Screening-Consent, Assessment-ConditionID, Assessment-ConditionSNOMED, Assessment-ConditionICD10, Assessment-ApprovalQuestionnaire, Assessment-OutreachQuestionnaire, Assessment-AdminQuestionnaire, Assessment-ServiceDupQuestionnaire, SHINNY-Assessment-Encounter, SHINNY-Assessment-Patient, ServiceRequest-Quantity, ServiceRequest-CategoryCode, ServiceRequest-OccurrencePeriod, ServiceRequest-AuthoredOn, SHINNYServiceRequestSDOHCategory, Task-StatusReason, Task-Repetitions, Task-EndPeriod, Task-StartPeriod, Referral-ApprovalQuestionnaire, Referral-HRSNOutreachQuestionnaire, Referral-SCNOutreachQuestionnaire, SHINNY-Bundle-Required-Resources, SHINNY-Bundle-Required, SHINNY-Bundle-Patient-Org-RI, SHINNY-Bundle-Encounter-RI, SHINNY-Bundle-Obs-derivedFrom-RI, SHINNY-Bundle-Obs-Patient-RI, SHINNY-Bundle-Obs-Encounter-RI, Screening-Crosswalk-44250-9, Screening-Crosswalk-44255-8, Screening-Crosswalk-68516-4, Screening-Crosswalk-68517-2, Screening-Crosswalk-68524-8, Screening-Crosswalk-69858-9, Screening-Crosswalk-69861-3, Screening-Crosswalk-71802-3, Screening-Crosswalk-76513-1, Screening-Crosswalk-88122-7, Screening-Crosswalk-88123-5, Screening-Crosswalk-89555-7, Screening-Crosswalk-93030-5, Screening-Crosswalk-93038-8, Screening-Crosswalk-93159-2, Screening-Crosswalk-95530-2, Screening-Crosswalk-95615-1, Screening-Crosswalk-95616-9, Screening-Crosswalk-95617-7, Screening-Crosswalk-95618-5, Screening-Crosswalk-96778-6, Screening-Crosswalk-96779-4, Screening-Crosswalk-96780-2, Screening-Crosswalk-96781-0, Screening-Crosswalk-96782-8, Screening-Crosswalk-96842-0, Screening-Crosswalk-97027-7, SHINNY-Consent-Category, Consent-ProvisionType, SHINNY-Bundle-screening-consent, Goal-StatusDate, Goal-AchievementStatus, Location-Address, Location-Type, Organization-Address, Organization-Type, SHINNY-Resources-Profile-Check
id	S	1..1	id	Logical id of this artifact
meta	S	1..1	SHINNYMeta	Metadata about the resource
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
language		0..1	code	Language of the resource content Binding: SHINNYLanguageVS (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	SHINNYLanguageVS	📦1.9.3	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
Assessment-AdminQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|EnhancedPopulationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ServiceDuplicationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ClinicalCriteriaCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ApprovalQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to PatientAssessmentApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ConditionICD10	warning	Bundle	Ensure that all final assessments have a Condition ICD-10 term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://hl7.org/fhir/sid/icd-10-cm')) .count() and entry.select(resource as Condition).count() !=0
Assessment-ConditionID	warning	Bundle	Ensure that all final assessments have a Condition identifier.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status = 'final').exists() implies entry.select(resource as Observation) .where( meta.profile.contains('shinny-observation-assessment') and status = 'final' ).count() = entry.select(resource as Condition).id.count()
Assessment-ConditionSNOMED	warning	Bundle	Ensure that all final assessments have a Condition category SNOMED term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://snomed.info/sct')) .count() and entry.select(resource as Condition).count() !=0
Assessment-OutreachQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles with patient approval contain a Patient Assessment Outreach Date and a Patient Assessment Status.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachStatus)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ServiceDupQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentHousingProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalEducationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalServicesProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentFoodServiceProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentSNAPProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentWICProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTANFProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTransportationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicationRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|BreastMilkRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ADLs/IADLsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicalRespiteRequirementsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ChildcareAssistanceIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Consent-ProvisionType	warning	Bundle	Ensure that all Consents include a value for provision type.	entry.select(resource as Consent) .all(provision.type.exists())
Encounter-PeriodEnd	warning	Bundle	Ensure that all finished Encounters include a value for period.end.	entry.select(resource as Encounter) .where(status.contains('finished')) .all(period.end.exists())
Encounter-PeriodStart	warning	Bundle	Ensure that all Encounters include a value for period.start.	entry.select(resource as Encounter) .all(period.start.exists())
Goal-AchievementStatus	warning	Bundle	Ensure that all Goals include a value for achivementStatus.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(achievementStatus.exists())
Goal-StatusDate	warning	Bundle	Ensure that all Goals include a value for statusDate.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(statusDate.exists())
Location-Address	warning	Bundle	Ensure that all Location resources include all address elements.	entry.select(resource as Location). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Location-Type	warning	Bundle	Ensure that all Location resources include a value for type.	entry.select(resource as Location).exists() implies entry.select(resource as Location).all(type.exists())
ObservationScreenRes-CategoryDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a category display.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .category.coding.where( system.contains('/CodeSystem/observation-category').not() ). all(display.exists())
ObservationScreenRes-CodeCode	warning	Bundle	Ensure that all Observation Screening Responses have a code code.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(code.exists())
ObservationScreenRes-CodeDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a code dispay.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(display.exists())
ObservationScreenRes-Interpretation	warning	Bundle	Ensure that specific Observation Screening Responses have an interpretation.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .where(derivedFrom.exists().not()) .all(interpretation.exists())
ObservationScreenRes-Langauge	warning	Bundle	Ensure that all Observation Screening Responses have a language.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .all(language.exists())
Organization-Address	warning	Bundle	Ensure that all Organization resources include all address elements.	entry.select(resource as Organization). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Organization-Type	warning	Bundle	Ensure that all Organization resources include a value for type.	entry.select(resource as Organization).exists() implies entry.select(resource as Organization).all(type.exists())
Referral-ApprovalQuestionnaire	warning	Bundle	Ensure that all Referral Questionnaire bundles have a response to PatientReferralApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-HRSNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to HRSNServiceProviderReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|HRSNServiceProviderReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-SCNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to SCNReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|SCNReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
SHINNY-Assessment-Encounter	error	Bundle	Assessment-Encounter should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(encounter.reference.exists().not()) .count()=0
SHINNY-Assessment-Patient	error	Bundle	Assessment-Subject should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(subject.reference.exists().not()) .count()=0
SHINNY-Bundle-Encounter-RI	error	Bundle	Checks for RI between all resources & Encounter	entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .intersect( entry.select(resource as Encounter).id ) .count() = entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .count()
SHINNY-Bundle-Obs-Encounter-RI	error	Bundle	Checks for RI between Screening Obs & Encounter	entry.select(resource as Observation) .exists(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) .select(encounter.reference.split('/')[1]).distinct() = entry.select(resource as Encounter).id
SHINNY-Bundle-Obs-Patient-RI	error	Bundle	Checks for RI between Obs & Patient	entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')).count()>1 implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')) .encounter.reference.distinct() .contains(entry.select(resource as Encounter).id)
SHINNY-Bundle-Obs-derivedFrom-RI	error	Bundle	Checks for RI between Observation & child Observation	entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .derivedFrom.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(derivedFrom.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .derivedFrom.reference .count()
SHINNY-Bundle-Obs-hasMember-RI	error	Bundle	Checks for RI between Observation & child Observations	entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .hasMember.reference .count() and (entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).exists() implies entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).id) .count() = entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).count())
SHINNY-Bundle-Patient-Org-RI	error	Bundle	Checks for RI between Patient & Assigning Org	entry.select(resource as Organization).id contains entry.select(resource as Patient) .identifier.where(type.coding.code='MR') .assigner.reference.split('/')[1]
SHINNY-Bundle-Required	error	Bundle	Every submitted resource should be part of a bundle.	select($this as Bundle).exists()
SHINNY-Bundle-Required-Resources	error	Bundle	Every bundle should always have one and only one 'Patient' & 'Encounter' and atleast one Org	entry.select(resource as Patient).count() = 1 and entry.select(resource as Encounter).count() > 0 and entry.select(resource as Organization).count() > 0
SHINNY-Bundle-screening-consent	error	Bundle	Ensures all bundles with a screening included also includes the consent profile.	( (select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() > 0) and ( entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening')).count() > 0 ) ) implies entry.select(resource as Consent).exists()
SHINNY-Consent-Category	warning	Bundle	Patient Consent category code is 59284-0	entry.select(resource as Consent).exists() implies entry.select(resource as Consent).category.coding.where(code='59284-0').exists()
SHINNY-Encounter-Class	warning	Bundle	Ensure that the Encounter resource has a class code; Ensure that the Encounter resource has a class code system	entry.select(resource as Encounter).class .all(code.exists() and system.exists())
SHINNY-Encounter-Type	warning	Bundle	Ensure that the Encounter resource has a status code	entry.select(resource as Encounter).type.coding .all(code.exists() and system.exists())
SHINNY-Obs-Category	error	Bundle	Ensure that all Observation categories have an SDOH code	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
SHINNY-Obs-Code	warning	Bundle	Ensure that all Observation resources have screening code; Ensure that all Observation resources have screening code system	entry.select(resource as Observation).where( code.coding.system.exists().not() or code.coding.code.not().exists().not()) .count() = 0
SHINNY-Obs-Encounter	warning	Bundle	SDOH Observations should have an Encounter	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')) .all(encounter.reference.exists())
SHINNY-Obs-Patient	warning	Bundle	SDOH Observations should have a Patient	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation')) .all(subject.reference.exists())
SHINNY-Patient-Address	warning	Bundle	All elements of address should be present	entry.select(resource as Patient). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
SHINNY-Patient-Communication	warning	Bundle	Communication should exist	entry.select(resource as Patient).communication.exists()
SHINNY-Patient-DOB	error	Bundle	birthDate should be a valid date	entry.select(resource as Patient).birthDate.trim().length() = 10 and entry.select(resource as Patient).birthDate.trim().split('-').count() = 3
SHINNY-Patient-Gender	error	Bundle	Gender should be present	entry.select(resource as Patient).where(gender.exists() and gender.trim().length()).count() > 0
SHINNY-Patient-GenderId	warning	Bundle	Gender Id should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').count() > 0
SHINNY-Patient-MA	error	Bundle	Every bundle should always have only 1 Medicaid CIN (i.e MA) Object within patient.identifier AND the CIN is always in the format of 2 letters, 5 numbers, and 1 letter, e.g., 'AB12345C'	entry.select(resource as Patient).identifier.where(type.coding.code='MA' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where( value.trim().length() = 8 and type.coding.code='MA' and value.substring(0,1).matches('^[a-zA-Z]+$') and value.substring(1,1).matches('^[a-zA-Z]+$') and value.substring(2,1).matches('^[0-9]*$') and value.substring(3,1).matches('^[0-9]*$') and value.substring(4,1).matches('^[0-9]*$') and value.substring(5,1).matches('^[0-9]*$') and value.substring(6,1).matches('^[0-9]*$') and value.substring(7,1).matches('^[a-zA-Z]+$') ).exists()
SHINNY-Patient-MRN	error	Bundle	Every bundle should always have only 1 MR (i.e MRN) Object within patient.identifier, system.contains('facility') and value (MRN) is provided	entry.select(resource as Patient).identifier.where(type.coding.code='MR' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where(system.contains('facility'))
SHINNY-Patient-MiddleName	warning	Bundle	MiddleName should be present	entry.select(resource as Patient).name .extension.where(url.contains('middle-name')) .value.trim().length()>0
SHINNY-Patient-Pronouns	warning	Bundle	Pronouns should be present	entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS').exists() implies entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS' and value.select($this as CodeableConcept).coding.code.exists()).exists()
SHINNY-Patient-Race-Ethnicity	warning	Bundle	Race & Ethnicity should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.where(url='ombCategory' and value.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists().not() implies entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').exists() and entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').exists()
SHINNY-Patient-SSN	warning	Bundle	Every bundle should always have only 1 SSN (i.e SS) Object within patient.identifier	entry.select(resource as Patient).identifier.where(type.coding.code='SS' and value.trim().length() > 0).count() <= 1
SHINNY-Resources-Profile-Check	error	Bundle	SHINNY-Resources-Profile-Check	select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() = 0 and ( entry.select(resource as Patient).exists() implies entry.select(resource as Patient).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-patient'.upper()).count() = 0 ) and ( entry.select(resource as Encounter).exists() implies entry.select(resource as Encounter).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-encounter'.upper()).count() = 0 ) and ( entry.select(resource as Observation).exists() implies entry.select(resource as Observation).meta.where(profile.upper().startsWith('http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation'.upper()).not()).count() = 0 ) and ( entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest'.upper()).count() = 0 ) and ( entry.select(resource as Task).exists() implies entry.select(resource as Task).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHTaskForReferralManagement'.upper()).count() = 0 ) and ( entry.select(resource as Consent).exists() implies entry.select(resource as Consent).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-Consent'.upper()).count() = 0 ) .allTrue()
SHINNY-Screening-Consent	error	Bundle	All screening bundles must include a consent	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')).exists() implies entry.select(resource as Consent).exists()
SHINNY-Screening-Patient	error	Bundle	SDOH Screening Observations should have an Patient	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening') and hasMember.exists()) .all(subject.reference.exists())
SHINNYServiceRequestSDOHCategory	error	Bundle	Ensure that all Service Request categories have an SDOH code	entry.select(resource as ServiceRequest) .where(meta.profile.contains('SHINNYSDOHServiceRequest')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
Screening-Crosswalk-44255-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44255-8 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44255-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44255-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44255-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-44250-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44250-9 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44250-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44250-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44250-9') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-68517-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68517-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68517-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68517-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68517-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-68516-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68516-4 then answer codes must be one of the following: LA6111-4 LA13942-0 LA19282-5 LA28855-7 LA28858-1 LA28854-0 LA28853-2 LA28891-2 LA32059-0 LA32060-8	entry.select(resource as Observation).where(code.coding.code contains '68516-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68516-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68516-4') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA13942-0' or code='LA19282-5' or code='LA28855-7' or code='LA28858-1' or code='LA28854-0' or code='LA28853-2' or code='LA28891-2' or code='LA32059-0' or code='LA32060-8').exists()
Screening-Crosswalk-68524-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68524-8 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68524-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68524-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68524-8') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-69858-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69858-9 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69858-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69858-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69858-9') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-69861-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69861-3 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69861-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69861-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69861-3') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-71802-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 71802-3 then answer codes must be one of the following: LA31993-1, LA31994-9, LA31995-6	entry.select(resource as Observation).where(code.coding.code contains '71802-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '71802-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '71802-3') .value.select($this as CodeableConcept).coding .where(code='LA31993-1' or code='LA31994-9' or code='LA31995-6').exists()
Screening-Crosswalk-76513-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 76513-1 then answer codes must be one of the following: LA15832-1 LA22683-9 LA31980-8	entry.select(resource as Observation).where(code.coding.code contains '76513-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '76513-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '76513-1') .value.select($this as CodeableConcept).coding .where(code='LA15832-1' or code='LA22683-9' or code='LA31980-8').exists()
Screening-Crosswalk-88123-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88123-5 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88123-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88123-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88123-5') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-88122-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88122-7 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88122-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88122-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88122-7') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-89555-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 89555-7 then answer codes must be one of the following: LA6111-4 LA6112-2 LA6113-0 LA6114-8 LA6115-5 LA10137-0 LA10138-8 LA10139-6	entry.select(resource as Observation).where(code.coding.code contains '89555-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '89555-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '89555-7') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA6112-2' or code='LA6113-0' or code='LA6114-8' or code='LA6115-5' or code='LA10137-0' or code='LA10138-8' or code='LA10139-6').exists()
Screening-Crosswalk-93030-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93030-5 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '93030-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93030-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93030-5') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-93038-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93038-8 then answer codes must be one of the following: LA6568-5 LA13863-8 LA13909-9 LA13902-4 LA13914-9 LA30122-8	entry.select(resource as Observation).where(code.coding.code contains '93038-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93038-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93038-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA13863-8' or code='LA13909-9' or code='LA13902-4' or code='LA13914-9' or code='LA30122-8').exists()
Screening-Crosswalk-93159-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93159-2 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA10044-8 LA9933-8	entry.select(resource as Observation).where(code.coding.code contains '93159-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93159-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93159-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA10044-8' or code='LA9933-8').exists()
Screening-Crosswalk-95530-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95530-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '95530-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95530-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95530-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-95615-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95615-1 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95615-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95615-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95615-1') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95618-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95618-5 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95618-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95618-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95618-5') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95617-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95617-7 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95617-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95617-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95617-7') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95616-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95616-9 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95616-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95616-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95616-9') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-96779-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96779-4 then answer codes must be one of the following: LA33-6 LA32-8 LA32002-0	entry.select(resource as Observation).where(code.coding.code contains '96779-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96779-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96779-4') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8' or code='LA32002-0').exists()
Screening-Crosswalk-96778-6	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96778-6 then answer codes must be one of the following: LA31996-4 LA28580-1 LA31997-2 LA31998-0 LA31999-8 LA32000-4 LA32001-2 LA9-3	entry.select(resource as Observation).where(code.coding.code contains '96778-6').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96778-6').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96778-6') .value.select($this as CodeableConcept).coding .where(code='LA31996-4' or code='LA28580-1' or code='LA31997-2' or code='LA31998-0' or code='LA31999-8' or code='LA32000-4' or code='LA32001-2' or code='LA9-3').exists()
Screening-Crosswalk-96781-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96781-0 then answer codes must be one of the following: LA31976-6 LA31977-4 LA31978-2 LA31979-0	entry.select(resource as Observation).where(code.coding.code contains '96781-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96781-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96781-0') .value.select($this as CodeableConcept).coding .where(code='LA31976-6' or code='LA31977-4' or code='LA31978-2' or code='LA31978-2').exists()
Screening-Crosswalk-96780-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96780-2 then answer codes must be one of the following: LA31981-6 LA31982-4 LA31983-2	entry.select(resource as Observation).where(code.coding.code contains '96780-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96780-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96780-2') .value.select($this as CodeableConcept).coding .where(code='LA31981-6' or code='LA31982-4' or code='LA31983-2').exists()
Screening-Crosswalk-96782-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96782-8 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '96782-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96782-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96782-8') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-96842-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96842-0 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '96842-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96842-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96842-0') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-97027-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 97027-7 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '97027-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '97027-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '97027-7') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
ServiceRequest-AuthoredOn	warning	Bundle	Ensure that all Service Requests have a authored on date.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).all(authoredOn.exists())
ServiceRequest-CategoryCode	warning	Bundle	Ensure that all Service Requests have a category code.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).( all(category.exists()) and category.all(coding.exists()) and category.coding.all(code.exists()) )
ServiceRequest-OccurrencePeriod	warning	Bundle	Ensure that all Service Requests have an occurrence period start and end, or occurrence datetime.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).count() = ( entry.select(resource as ServiceRequest).where(occurrence is Period).select(occurrence) .where(start and end).count() + entry.select(resource as ServiceRequest).where(occurrence is dateTime).count() )
ServiceRequest-Quantity	warning	Bundle	Ensure that all Service Requests have a quantity.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest) .all(quantity.value.exists())
Task-EndPeriod	warning	Bundle	Ensure that all completed Tasks have an end execution period.	entry.select(resource as Task).where(status = 'completed').exists() implies entry.select(resource as Task).where(status = 'completed').all(executionPeriod.end.exists())
Task-Repetitions	warning	Bundle	Ensure that all Tasks have a value for repetitions.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(restriction.repetitions.exists())
Task-StartPeriod	warning	Bundle	Ensure that all Tasks have a starting execution period.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(executionPeriod.start.exists())
Task-StatusReason	error	Bundle	Ensure that all tasks exists, have a statusReason If the Task.status is rejected, cancelled, completed, or failed.	entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed').exists() implies entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed') .all(statusReason.text.exists())
shinny-sexual-orientation	warning	Bundle	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')) .where(value.exists() or dataAbsentReason.exists()) .count()=1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, SHINNY-Patient-MRN, SHINNY-Patient-MA, SHINNY-Patient-SSN, SHINNY-Patient-Address, SHINNY-Patient-DOB, SHINNY-Patient-Gender, SHINNY-Patient-GenderId, SHINNY-Patient-Race-Ethnicity, SHINNY-Patient-Communication, SHINNY-Patient-MiddleName, SHINNY-Patient-Pronouns, shinny-sexual-orientation, SHINNY-Bundle-Obs-hasMember-RI, SHINNY-Encounter-Class, SHINNY-Encounter-Type, Encounter-PeriodStart, Encounter-PeriodEnd, SHINNY-Obs-Encounter, SHINNY-Obs-Patient, SHINNY-Obs-Code, SHINNY-Obs-Category, SHINNY-Screening-Patient, ObservationScreenRes-Langauge, ObservationScreenRes-CategoryDisplay, ObservationScreenRes-CodeCode, ObservationScreenRes-CodeDisplay, ObservationScreenRes-Interpretation, SHINNY-Screening-Consent, Assessment-ConditionID, Assessment-ConditionSNOMED, Assessment-ConditionICD10, Assessment-ApprovalQuestionnaire, Assessment-OutreachQuestionnaire, Assessment-AdminQuestionnaire, Assessment-ServiceDupQuestionnaire, SHINNY-Assessment-Encounter, SHINNY-Assessment-Patient, ServiceRequest-Quantity, ServiceRequest-CategoryCode, ServiceRequest-OccurrencePeriod, ServiceRequest-AuthoredOn, SHINNYServiceRequestSDOHCategory, Task-StatusReason, Task-Repetitions, Task-EndPeriod, Task-StartPeriod, Referral-ApprovalQuestionnaire, Referral-HRSNOutreachQuestionnaire, Referral-SCNOutreachQuestionnaire, SHINNY-Bundle-Required-Resources, SHINNY-Bundle-Required, SHINNY-Bundle-Patient-Org-RI, SHINNY-Bundle-Encounter-RI, SHINNY-Bundle-Obs-derivedFrom-RI, SHINNY-Bundle-Obs-Patient-RI, SHINNY-Bundle-Obs-Encounter-RI, Screening-Crosswalk-44250-9, Screening-Crosswalk-44255-8, Screening-Crosswalk-68516-4, Screening-Crosswalk-68517-2, Screening-Crosswalk-68524-8, Screening-Crosswalk-69858-9, Screening-Crosswalk-69861-3, Screening-Crosswalk-71802-3, Screening-Crosswalk-76513-1, Screening-Crosswalk-88122-7, Screening-Crosswalk-88123-5, Screening-Crosswalk-89555-7, Screening-Crosswalk-93030-5, Screening-Crosswalk-93038-8, Screening-Crosswalk-93159-2, Screening-Crosswalk-95530-2, Screening-Crosswalk-95615-1, Screening-Crosswalk-95616-9, Screening-Crosswalk-95617-7, Screening-Crosswalk-95618-5, Screening-Crosswalk-96778-6, Screening-Crosswalk-96779-4, Screening-Crosswalk-96780-2, Screening-Crosswalk-96781-0, Screening-Crosswalk-96782-8, Screening-Crosswalk-96842-0, Screening-Crosswalk-97027-7, SHINNY-Consent-Category, Consent-ProvisionType, SHINNY-Bundle-screening-consent, Goal-StatusDate, Goal-AchievementStatus, Location-Address, Location-Type, Organization-Address, Organization-Type, SHINNY-Resources-Profile-Check
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	SHINNYMeta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	SΣ	1..1	instant	When the resource version was created or last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
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	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: SHINNYLanguageVS (preferred)
identifier	Σ	0..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
timestamp	Σ	0..1	instant	When the bundle was assembled
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	Σ	0..*	BackboneElement	Links related to this Bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	0..1	Resource	A resource in the bundle
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Bundle.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Bundle.language	Base	preferred	SHINNYLanguageVS	📦1.9.3	This IG
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
Assessment-AdminQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|EnhancedPopulationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ServiceDuplicationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ClinicalCriteriaCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ApprovalQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to PatientAssessmentApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ConditionICD10	warning	Bundle	Ensure that all final assessments have a Condition ICD-10 term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://hl7.org/fhir/sid/icd-10-cm')) .count() and entry.select(resource as Condition).count() !=0
Assessment-ConditionID	warning	Bundle	Ensure that all final assessments have a Condition identifier.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status = 'final').exists() implies entry.select(resource as Observation) .where( meta.profile.contains('shinny-observation-assessment') and status = 'final' ).count() = entry.select(resource as Condition).id.count()
Assessment-ConditionSNOMED	warning	Bundle	Ensure that all final assessments have a Condition category SNOMED term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://snomed.info/sct')) .count() and entry.select(resource as Condition).count() !=0
Assessment-OutreachQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles with patient approval contain a Patient Assessment Outreach Date and a Patient Assessment Status.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachStatus)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ServiceDupQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentHousingProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalEducationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalServicesProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentFoodServiceProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentSNAPProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentWICProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTANFProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTransportationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicationRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|BreastMilkRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ADLs/IADLsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicalRespiteRequirementsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ChildcareAssistanceIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Consent-ProvisionType	warning	Bundle	Ensure that all Consents include a value for provision type.	entry.select(resource as Consent) .all(provision.type.exists())
Encounter-PeriodEnd	warning	Bundle	Ensure that all finished Encounters include a value for period.end.	entry.select(resource as Encounter) .where(status.contains('finished')) .all(period.end.exists())
Encounter-PeriodStart	warning	Bundle	Ensure that all Encounters include a value for period.start.	entry.select(resource as Encounter) .all(period.start.exists())
Goal-AchievementStatus	warning	Bundle	Ensure that all Goals include a value for achivementStatus.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(achievementStatus.exists())
Goal-StatusDate	warning	Bundle	Ensure that all Goals include a value for statusDate.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(statusDate.exists())
Location-Address	warning	Bundle	Ensure that all Location resources include all address elements.	entry.select(resource as Location). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Location-Type	warning	Bundle	Ensure that all Location resources include a value for type.	entry.select(resource as Location).exists() implies entry.select(resource as Location).all(type.exists())
ObservationScreenRes-CategoryDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a category display.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .category.coding.where( system.contains('/CodeSystem/observation-category').not() ). all(display.exists())
ObservationScreenRes-CodeCode	warning	Bundle	Ensure that all Observation Screening Responses have a code code.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(code.exists())
ObservationScreenRes-CodeDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a code dispay.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(display.exists())
ObservationScreenRes-Interpretation	warning	Bundle	Ensure that specific Observation Screening Responses have an interpretation.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .where(derivedFrom.exists().not()) .all(interpretation.exists())
ObservationScreenRes-Langauge	warning	Bundle	Ensure that all Observation Screening Responses have a language.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .all(language.exists())
Organization-Address	warning	Bundle	Ensure that all Organization resources include all address elements.	entry.select(resource as Organization). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Organization-Type	warning	Bundle	Ensure that all Organization resources include a value for type.	entry.select(resource as Organization).exists() implies entry.select(resource as Organization).all(type.exists())
Referral-ApprovalQuestionnaire	warning	Bundle	Ensure that all Referral Questionnaire bundles have a response to PatientReferralApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-HRSNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to HRSNServiceProviderReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|HRSNServiceProviderReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-SCNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to SCNReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|SCNReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
SHINNY-Assessment-Encounter	error	Bundle	Assessment-Encounter should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(encounter.reference.exists().not()) .count()=0
SHINNY-Assessment-Patient	error	Bundle	Assessment-Subject should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(subject.reference.exists().not()) .count()=0
SHINNY-Bundle-Encounter-RI	error	Bundle	Checks for RI between all resources & Encounter	entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .intersect( entry.select(resource as Encounter).id ) .count() = entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .count()
SHINNY-Bundle-Obs-Encounter-RI	error	Bundle	Checks for RI between Screening Obs & Encounter	entry.select(resource as Observation) .exists(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) .select(encounter.reference.split('/')[1]).distinct() = entry.select(resource as Encounter).id
SHINNY-Bundle-Obs-Patient-RI	error	Bundle	Checks for RI between Obs & Patient	entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')).count()>1 implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')) .encounter.reference.distinct() .contains(entry.select(resource as Encounter).id)
SHINNY-Bundle-Obs-derivedFrom-RI	error	Bundle	Checks for RI between Observation & child Observation	entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .derivedFrom.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(derivedFrom.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .derivedFrom.reference .count()
SHINNY-Bundle-Obs-hasMember-RI	error	Bundle	Checks for RI between Observation & child Observations	entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .hasMember.reference .count() and (entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).exists() implies entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).id) .count() = entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).count())
SHINNY-Bundle-Patient-Org-RI	error	Bundle	Checks for RI between Patient & Assigning Org	entry.select(resource as Organization).id contains entry.select(resource as Patient) .identifier.where(type.coding.code='MR') .assigner.reference.split('/')[1]
SHINNY-Bundle-Required	error	Bundle	Every submitted resource should be part of a bundle.	select($this as Bundle).exists()
SHINNY-Bundle-Required-Resources	error	Bundle	Every bundle should always have one and only one 'Patient' & 'Encounter' and atleast one Org	entry.select(resource as Patient).count() = 1 and entry.select(resource as Encounter).count() > 0 and entry.select(resource as Organization).count() > 0
SHINNY-Bundle-screening-consent	error	Bundle	Ensures all bundles with a screening included also includes the consent profile.	( (select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() > 0) and ( entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening')).count() > 0 ) ) implies entry.select(resource as Consent).exists()
SHINNY-Consent-Category	warning	Bundle	Patient Consent category code is 59284-0	entry.select(resource as Consent).exists() implies entry.select(resource as Consent).category.coding.where(code='59284-0').exists()
SHINNY-Encounter-Class	warning	Bundle	Ensure that the Encounter resource has a class code; Ensure that the Encounter resource has a class code system	entry.select(resource as Encounter).class .all(code.exists() and system.exists())
SHINNY-Encounter-Type	warning	Bundle	Ensure that the Encounter resource has a status code	entry.select(resource as Encounter).type.coding .all(code.exists() and system.exists())
SHINNY-Obs-Category	error	Bundle	Ensure that all Observation categories have an SDOH code	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
SHINNY-Obs-Code	warning	Bundle	Ensure that all Observation resources have screening code; Ensure that all Observation resources have screening code system	entry.select(resource as Observation).where( code.coding.system.exists().not() or code.coding.code.not().exists().not()) .count() = 0
SHINNY-Obs-Encounter	warning	Bundle	SDOH Observations should have an Encounter	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')) .all(encounter.reference.exists())
SHINNY-Obs-Patient	warning	Bundle	SDOH Observations should have a Patient	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation')) .all(subject.reference.exists())
SHINNY-Patient-Address	warning	Bundle	All elements of address should be present	entry.select(resource as Patient). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
SHINNY-Patient-Communication	warning	Bundle	Communication should exist	entry.select(resource as Patient).communication.exists()
SHINNY-Patient-DOB	error	Bundle	birthDate should be a valid date	entry.select(resource as Patient).birthDate.trim().length() = 10 and entry.select(resource as Patient).birthDate.trim().split('-').count() = 3
SHINNY-Patient-Gender	error	Bundle	Gender should be present	entry.select(resource as Patient).where(gender.exists() and gender.trim().length()).count() > 0
SHINNY-Patient-GenderId	warning	Bundle	Gender Id should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').count() > 0
SHINNY-Patient-MA	error	Bundle	Every bundle should always have only 1 Medicaid CIN (i.e MA) Object within patient.identifier AND the CIN is always in the format of 2 letters, 5 numbers, and 1 letter, e.g., 'AB12345C'	entry.select(resource as Patient).identifier.where(type.coding.code='MA' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where( value.trim().length() = 8 and type.coding.code='MA' and value.substring(0,1).matches('^[a-zA-Z]+$') and value.substring(1,1).matches('^[a-zA-Z]+$') and value.substring(2,1).matches('^[0-9]*$') and value.substring(3,1).matches('^[0-9]*$') and value.substring(4,1).matches('^[0-9]*$') and value.substring(5,1).matches('^[0-9]*$') and value.substring(6,1).matches('^[0-9]*$') and value.substring(7,1).matches('^[a-zA-Z]+$') ).exists()
SHINNY-Patient-MRN	error	Bundle	Every bundle should always have only 1 MR (i.e MRN) Object within patient.identifier, system.contains('facility') and value (MRN) is provided	entry.select(resource as Patient).identifier.where(type.coding.code='MR' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where(system.contains('facility'))
SHINNY-Patient-MiddleName	warning	Bundle	MiddleName should be present	entry.select(resource as Patient).name .extension.where(url.contains('middle-name')) .value.trim().length()>0
SHINNY-Patient-Pronouns	warning	Bundle	Pronouns should be present	entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS').exists() implies entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS' and value.select($this as CodeableConcept).coding.code.exists()).exists()
SHINNY-Patient-Race-Ethnicity	warning	Bundle	Race & Ethnicity should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.where(url='ombCategory' and value.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists().not() implies entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').exists() and entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').exists()
SHINNY-Patient-SSN	warning	Bundle	Every bundle should always have only 1 SSN (i.e SS) Object within patient.identifier	entry.select(resource as Patient).identifier.where(type.coding.code='SS' and value.trim().length() > 0).count() <= 1
SHINNY-Resources-Profile-Check	error	Bundle	SHINNY-Resources-Profile-Check	select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() = 0 and ( entry.select(resource as Patient).exists() implies entry.select(resource as Patient).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-patient'.upper()).count() = 0 ) and ( entry.select(resource as Encounter).exists() implies entry.select(resource as Encounter).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-encounter'.upper()).count() = 0 ) and ( entry.select(resource as Observation).exists() implies entry.select(resource as Observation).meta.where(profile.upper().startsWith('http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation'.upper()).not()).count() = 0 ) and ( entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest'.upper()).count() = 0 ) and ( entry.select(resource as Task).exists() implies entry.select(resource as Task).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHTaskForReferralManagement'.upper()).count() = 0 ) and ( entry.select(resource as Consent).exists() implies entry.select(resource as Consent).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-Consent'.upper()).count() = 0 ) .allTrue()
SHINNY-Screening-Consent	error	Bundle	All screening bundles must include a consent	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')).exists() implies entry.select(resource as Consent).exists()
SHINNY-Screening-Patient	error	Bundle	SDOH Screening Observations should have an Patient	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening') and hasMember.exists()) .all(subject.reference.exists())
SHINNYServiceRequestSDOHCategory	error	Bundle	Ensure that all Service Request categories have an SDOH code	entry.select(resource as ServiceRequest) .where(meta.profile.contains('SHINNYSDOHServiceRequest')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
Screening-Crosswalk-44255-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44255-8 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44255-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44255-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44255-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-44250-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44250-9 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44250-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44250-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44250-9') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-68517-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68517-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68517-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68517-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68517-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-68516-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68516-4 then answer codes must be one of the following: LA6111-4 LA13942-0 LA19282-5 LA28855-7 LA28858-1 LA28854-0 LA28853-2 LA28891-2 LA32059-0 LA32060-8	entry.select(resource as Observation).where(code.coding.code contains '68516-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68516-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68516-4') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA13942-0' or code='LA19282-5' or code='LA28855-7' or code='LA28858-1' or code='LA28854-0' or code='LA28853-2' or code='LA28891-2' or code='LA32059-0' or code='LA32060-8').exists()
Screening-Crosswalk-68524-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68524-8 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68524-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68524-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68524-8') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-69858-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69858-9 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69858-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69858-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69858-9') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-69861-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69861-3 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69861-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69861-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69861-3') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-71802-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 71802-3 then answer codes must be one of the following: LA31993-1, LA31994-9, LA31995-6	entry.select(resource as Observation).where(code.coding.code contains '71802-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '71802-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '71802-3') .value.select($this as CodeableConcept).coding .where(code='LA31993-1' or code='LA31994-9' or code='LA31995-6').exists()
Screening-Crosswalk-76513-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 76513-1 then answer codes must be one of the following: LA15832-1 LA22683-9 LA31980-8	entry.select(resource as Observation).where(code.coding.code contains '76513-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '76513-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '76513-1') .value.select($this as CodeableConcept).coding .where(code='LA15832-1' or code='LA22683-9' or code='LA31980-8').exists()
Screening-Crosswalk-88123-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88123-5 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88123-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88123-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88123-5') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-88122-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88122-7 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88122-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88122-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88122-7') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-89555-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 89555-7 then answer codes must be one of the following: LA6111-4 LA6112-2 LA6113-0 LA6114-8 LA6115-5 LA10137-0 LA10138-8 LA10139-6	entry.select(resource as Observation).where(code.coding.code contains '89555-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '89555-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '89555-7') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA6112-2' or code='LA6113-0' or code='LA6114-8' or code='LA6115-5' or code='LA10137-0' or code='LA10138-8' or code='LA10139-6').exists()
Screening-Crosswalk-93030-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93030-5 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '93030-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93030-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93030-5') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-93038-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93038-8 then answer codes must be one of the following: LA6568-5 LA13863-8 LA13909-9 LA13902-4 LA13914-9 LA30122-8	entry.select(resource as Observation).where(code.coding.code contains '93038-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93038-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93038-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA13863-8' or code='LA13909-9' or code='LA13902-4' or code='LA13914-9' or code='LA30122-8').exists()
Screening-Crosswalk-93159-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93159-2 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA10044-8 LA9933-8	entry.select(resource as Observation).where(code.coding.code contains '93159-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93159-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93159-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA10044-8' or code='LA9933-8').exists()
Screening-Crosswalk-95530-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95530-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '95530-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95530-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95530-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-95615-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95615-1 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95615-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95615-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95615-1') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95618-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95618-5 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95618-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95618-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95618-5') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95617-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95617-7 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95617-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95617-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95617-7') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95616-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95616-9 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95616-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95616-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95616-9') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-96779-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96779-4 then answer codes must be one of the following: LA33-6 LA32-8 LA32002-0	entry.select(resource as Observation).where(code.coding.code contains '96779-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96779-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96779-4') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8' or code='LA32002-0').exists()
Screening-Crosswalk-96778-6	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96778-6 then answer codes must be one of the following: LA31996-4 LA28580-1 LA31997-2 LA31998-0 LA31999-8 LA32000-4 LA32001-2 LA9-3	entry.select(resource as Observation).where(code.coding.code contains '96778-6').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96778-6').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96778-6') .value.select($this as CodeableConcept).coding .where(code='LA31996-4' or code='LA28580-1' or code='LA31997-2' or code='LA31998-0' or code='LA31999-8' or code='LA32000-4' or code='LA32001-2' or code='LA9-3').exists()
Screening-Crosswalk-96781-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96781-0 then answer codes must be one of the following: LA31976-6 LA31977-4 LA31978-2 LA31979-0	entry.select(resource as Observation).where(code.coding.code contains '96781-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96781-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96781-0') .value.select($this as CodeableConcept).coding .where(code='LA31976-6' or code='LA31977-4' or code='LA31978-2' or code='LA31978-2').exists()
Screening-Crosswalk-96780-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96780-2 then answer codes must be one of the following: LA31981-6 LA31982-4 LA31983-2	entry.select(resource as Observation).where(code.coding.code contains '96780-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96780-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96780-2') .value.select($this as CodeableConcept).coding .where(code='LA31981-6' or code='LA31982-4' or code='LA31983-2').exists()
Screening-Crosswalk-96782-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96782-8 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '96782-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96782-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96782-8') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-96842-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96842-0 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '96842-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96842-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96842-0') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-97027-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 97027-7 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '97027-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '97027-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '97027-7') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
ServiceRequest-AuthoredOn	warning	Bundle	Ensure that all Service Requests have a authored on date.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).all(authoredOn.exists())
ServiceRequest-CategoryCode	warning	Bundle	Ensure that all Service Requests have a category code.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).( all(category.exists()) and category.all(coding.exists()) and category.coding.all(code.exists()) )
ServiceRequest-OccurrencePeriod	warning	Bundle	Ensure that all Service Requests have an occurrence period start and end, or occurrence datetime.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).count() = ( entry.select(resource as ServiceRequest).where(occurrence is Period).select(occurrence) .where(start and end).count() + entry.select(resource as ServiceRequest).where(occurrence is dateTime).count() )
ServiceRequest-Quantity	warning	Bundle	Ensure that all Service Requests have a quantity.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest) .all(quantity.value.exists())
Task-EndPeriod	warning	Bundle	Ensure that all completed Tasks have an end execution period.	entry.select(resource as Task).where(status = 'completed').exists() implies entry.select(resource as Task).where(status = 'completed').all(executionPeriod.end.exists())
Task-Repetitions	warning	Bundle	Ensure that all Tasks have a value for repetitions.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(restriction.repetitions.exists())
Task-StartPeriod	warning	Bundle	Ensure that all Tasks have a starting execution period.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(executionPeriod.start.exists())
Task-StatusReason	error	Bundle	Ensure that all tasks exists, have a statusReason If the Task.status is rejected, cancelled, completed, or failed.	entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed').exists() implies entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed') .all(statusReason.text.exists())
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()
shinny-sexual-orientation	warning	Bundle	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')) .where(value.exists() or dataAbsentReason.exists()) .count()=1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, SHINNY-Patient-MRN, SHINNY-Patient-MA, SHINNY-Patient-SSN, SHINNY-Patient-Address, SHINNY-Patient-DOB, SHINNY-Patient-Gender, SHINNY-Patient-GenderId, SHINNY-Patient-Race-Ethnicity, SHINNY-Patient-Communication, SHINNY-Patient-MiddleName, SHINNY-Patient-Pronouns, shinny-sexual-orientation, SHINNY-Bundle-Obs-hasMember-RI, SHINNY-Encounter-Class, SHINNY-Encounter-Type, Encounter-PeriodStart, Encounter-PeriodEnd, SHINNY-Obs-Encounter, SHINNY-Obs-Patient, SHINNY-Obs-Code, SHINNY-Obs-Category, SHINNY-Screening-Patient, ObservationScreenRes-Langauge, ObservationScreenRes-CategoryDisplay, ObservationScreenRes-CodeCode, ObservationScreenRes-CodeDisplay, ObservationScreenRes-Interpretation, SHINNY-Screening-Consent, Assessment-ConditionID, Assessment-ConditionSNOMED, Assessment-ConditionICD10, Assessment-ApprovalQuestionnaire, Assessment-OutreachQuestionnaire, Assessment-AdminQuestionnaire, Assessment-ServiceDupQuestionnaire, SHINNY-Assessment-Encounter, SHINNY-Assessment-Patient, ServiceRequest-Quantity, ServiceRequest-CategoryCode, ServiceRequest-OccurrencePeriod, ServiceRequest-AuthoredOn, SHINNYServiceRequestSDOHCategory, Task-StatusReason, Task-Repetitions, Task-EndPeriod, Task-StartPeriod, Referral-ApprovalQuestionnaire, Referral-HRSNOutreachQuestionnaire, Referral-SCNOutreachQuestionnaire, SHINNY-Bundle-Required-Resources, SHINNY-Bundle-Required, SHINNY-Bundle-Patient-Org-RI, SHINNY-Bundle-Encounter-RI, SHINNY-Bundle-Obs-derivedFrom-RI, SHINNY-Bundle-Obs-Patient-RI, SHINNY-Bundle-Obs-Encounter-RI, Screening-Crosswalk-44250-9, Screening-Crosswalk-44255-8, Screening-Crosswalk-68516-4, Screening-Crosswalk-68517-2, Screening-Crosswalk-68524-8, Screening-Crosswalk-69858-9, Screening-Crosswalk-69861-3, Screening-Crosswalk-71802-3, Screening-Crosswalk-76513-1, Screening-Crosswalk-88122-7, Screening-Crosswalk-88123-5, Screening-Crosswalk-89555-7, Screening-Crosswalk-93030-5, Screening-Crosswalk-93038-8, Screening-Crosswalk-93159-2, Screening-Crosswalk-95530-2, Screening-Crosswalk-95615-1, Screening-Crosswalk-95616-9, Screening-Crosswalk-95617-7, Screening-Crosswalk-95618-5, Screening-Crosswalk-96778-6, Screening-Crosswalk-96779-4, Screening-Crosswalk-96780-2, Screening-Crosswalk-96781-0, Screening-Crosswalk-96782-8, Screening-Crosswalk-96842-0, Screening-Crosswalk-97027-7, SHINNY-Consent-Category, Consent-ProvisionType, SHINNY-Bundle-screening-consent, Goal-StatusDate, Goal-AchievementStatus, Location-Address, Location-Type, Organization-Address, Organization-Type, SHINNY-Resources-Profile-Check
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	SHINNYMeta	Metadata about the resource
lastUpdated	SΣ	1..1	instant	When the resource version was created or last changed
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
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: SHINNYLanguageVS (preferred)
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	SHINNYLanguageVS	📦1.9.3	This IG
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
Assessment-AdminQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|EnhancedPopulationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ServiceDuplicationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ClinicalCriteriaCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ApprovalQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to PatientAssessmentApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ConditionICD10	warning	Bundle	Ensure that all final assessments have a Condition ICD-10 term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://hl7.org/fhir/sid/icd-10-cm')) .count() and entry.select(resource as Condition).count() !=0
Assessment-ConditionID	warning	Bundle	Ensure that all final assessments have a Condition identifier.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status = 'final').exists() implies entry.select(resource as Observation) .where( meta.profile.contains('shinny-observation-assessment') and status = 'final' ).count() = entry.select(resource as Condition).id.count()
Assessment-ConditionSNOMED	warning	Bundle	Ensure that all final assessments have a Condition category SNOMED term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://snomed.info/sct')) .count() and entry.select(resource as Condition).count() !=0
Assessment-OutreachQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles with patient approval contain a Patient Assessment Outreach Date and a Patient Assessment Status.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachStatus)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ServiceDupQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentHousingProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalEducationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalServicesProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentFoodServiceProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentSNAPProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentWICProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTANFProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTransportationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicationRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|BreastMilkRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ADLs/IADLsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicalRespiteRequirementsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ChildcareAssistanceIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Consent-ProvisionType	warning	Bundle	Ensure that all Consents include a value for provision type.	entry.select(resource as Consent) .all(provision.type.exists())
Encounter-PeriodEnd	warning	Bundle	Ensure that all finished Encounters include a value for period.end.	entry.select(resource as Encounter) .where(status.contains('finished')) .all(period.end.exists())
Encounter-PeriodStart	warning	Bundle	Ensure that all Encounters include a value for period.start.	entry.select(resource as Encounter) .all(period.start.exists())
Goal-AchievementStatus	warning	Bundle	Ensure that all Goals include a value for achivementStatus.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(achievementStatus.exists())
Goal-StatusDate	warning	Bundle	Ensure that all Goals include a value for statusDate.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(statusDate.exists())
Location-Address	warning	Bundle	Ensure that all Location resources include all address elements.	entry.select(resource as Location). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Location-Type	warning	Bundle	Ensure that all Location resources include a value for type.	entry.select(resource as Location).exists() implies entry.select(resource as Location).all(type.exists())
ObservationScreenRes-CategoryDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a category display.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .category.coding.where( system.contains('/CodeSystem/observation-category').not() ). all(display.exists())
ObservationScreenRes-CodeCode	warning	Bundle	Ensure that all Observation Screening Responses have a code code.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(code.exists())
ObservationScreenRes-CodeDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a code dispay.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(display.exists())
ObservationScreenRes-Interpretation	warning	Bundle	Ensure that specific Observation Screening Responses have an interpretation.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .where(derivedFrom.exists().not()) .all(interpretation.exists())
ObservationScreenRes-Langauge	warning	Bundle	Ensure that all Observation Screening Responses have a language.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .all(language.exists())
Organization-Address	warning	Bundle	Ensure that all Organization resources include all address elements.	entry.select(resource as Organization). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Organization-Type	warning	Bundle	Ensure that all Organization resources include a value for type.	entry.select(resource as Organization).exists() implies entry.select(resource as Organization).all(type.exists())
Referral-ApprovalQuestionnaire	warning	Bundle	Ensure that all Referral Questionnaire bundles have a response to PatientReferralApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-HRSNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to HRSNServiceProviderReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|HRSNServiceProviderReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-SCNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to SCNReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|SCNReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
SHINNY-Assessment-Encounter	error	Bundle	Assessment-Encounter should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(encounter.reference.exists().not()) .count()=0
SHINNY-Assessment-Patient	error	Bundle	Assessment-Subject should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(subject.reference.exists().not()) .count()=0
SHINNY-Bundle-Encounter-RI	error	Bundle	Checks for RI between all resources & Encounter	entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .intersect( entry.select(resource as Encounter).id ) .count() = entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .count()
SHINNY-Bundle-Obs-Encounter-RI	error	Bundle	Checks for RI between Screening Obs & Encounter	entry.select(resource as Observation) .exists(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) .select(encounter.reference.split('/')[1]).distinct() = entry.select(resource as Encounter).id
SHINNY-Bundle-Obs-Patient-RI	error	Bundle	Checks for RI between Obs & Patient	entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')).count()>1 implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')) .encounter.reference.distinct() .contains(entry.select(resource as Encounter).id)
SHINNY-Bundle-Obs-derivedFrom-RI	error	Bundle	Checks for RI between Observation & child Observation	entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .derivedFrom.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(derivedFrom.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .derivedFrom.reference .count()
SHINNY-Bundle-Obs-hasMember-RI	error	Bundle	Checks for RI between Observation & child Observations	entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .hasMember.reference .count() and (entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).exists() implies entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).id) .count() = entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).count())
SHINNY-Bundle-Patient-Org-RI	error	Bundle	Checks for RI between Patient & Assigning Org	entry.select(resource as Organization).id contains entry.select(resource as Patient) .identifier.where(type.coding.code='MR') .assigner.reference.split('/')[1]
SHINNY-Bundle-Required	error	Bundle	Every submitted resource should be part of a bundle.	select($this as Bundle).exists()
SHINNY-Bundle-Required-Resources	error	Bundle	Every bundle should always have one and only one 'Patient' & 'Encounter' and atleast one Org	entry.select(resource as Patient).count() = 1 and entry.select(resource as Encounter).count() > 0 and entry.select(resource as Organization).count() > 0
SHINNY-Bundle-screening-consent	error	Bundle	Ensures all bundles with a screening included also includes the consent profile.	( (select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() > 0) and ( entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening')).count() > 0 ) ) implies entry.select(resource as Consent).exists()
SHINNY-Consent-Category	warning	Bundle	Patient Consent category code is 59284-0	entry.select(resource as Consent).exists() implies entry.select(resource as Consent).category.coding.where(code='59284-0').exists()
SHINNY-Encounter-Class	warning	Bundle	Ensure that the Encounter resource has a class code; Ensure that the Encounter resource has a class code system	entry.select(resource as Encounter).class .all(code.exists() and system.exists())
SHINNY-Encounter-Type	warning	Bundle	Ensure that the Encounter resource has a status code	entry.select(resource as Encounter).type.coding .all(code.exists() and system.exists())
SHINNY-Obs-Category	error	Bundle	Ensure that all Observation categories have an SDOH code	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
SHINNY-Obs-Code	warning	Bundle	Ensure that all Observation resources have screening code; Ensure that all Observation resources have screening code system	entry.select(resource as Observation).where( code.coding.system.exists().not() or code.coding.code.not().exists().not()) .count() = 0
SHINNY-Obs-Encounter	warning	Bundle	SDOH Observations should have an Encounter	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')) .all(encounter.reference.exists())
SHINNY-Obs-Patient	warning	Bundle	SDOH Observations should have a Patient	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation')) .all(subject.reference.exists())
SHINNY-Patient-Address	warning	Bundle	All elements of address should be present	entry.select(resource as Patient). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
SHINNY-Patient-Communication	warning	Bundle	Communication should exist	entry.select(resource as Patient).communication.exists()
SHINNY-Patient-DOB	error	Bundle	birthDate should be a valid date	entry.select(resource as Patient).birthDate.trim().length() = 10 and entry.select(resource as Patient).birthDate.trim().split('-').count() = 3
SHINNY-Patient-Gender	error	Bundle	Gender should be present	entry.select(resource as Patient).where(gender.exists() and gender.trim().length()).count() > 0
SHINNY-Patient-GenderId	warning	Bundle	Gender Id should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').count() > 0
SHINNY-Patient-MA	error	Bundle	Every bundle should always have only 1 Medicaid CIN (i.e MA) Object within patient.identifier AND the CIN is always in the format of 2 letters, 5 numbers, and 1 letter, e.g., 'AB12345C'	entry.select(resource as Patient).identifier.where(type.coding.code='MA' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where( value.trim().length() = 8 and type.coding.code='MA' and value.substring(0,1).matches('^[a-zA-Z]+$') and value.substring(1,1).matches('^[a-zA-Z]+$') and value.substring(2,1).matches('^[0-9]*$') and value.substring(3,1).matches('^[0-9]*$') and value.substring(4,1).matches('^[0-9]*$') and value.substring(5,1).matches('^[0-9]*$') and value.substring(6,1).matches('^[0-9]*$') and value.substring(7,1).matches('^[a-zA-Z]+$') ).exists()
SHINNY-Patient-MRN	error	Bundle	Every bundle should always have only 1 MR (i.e MRN) Object within patient.identifier, system.contains('facility') and value (MRN) is provided	entry.select(resource as Patient).identifier.where(type.coding.code='MR' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where(system.contains('facility'))
SHINNY-Patient-MiddleName	warning	Bundle	MiddleName should be present	entry.select(resource as Patient).name .extension.where(url.contains('middle-name')) .value.trim().length()>0
SHINNY-Patient-Pronouns	warning	Bundle	Pronouns should be present	entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS').exists() implies entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS' and value.select($this as CodeableConcept).coding.code.exists()).exists()
SHINNY-Patient-Race-Ethnicity	warning	Bundle	Race & Ethnicity should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.where(url='ombCategory' and value.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists().not() implies entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').exists() and entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').exists()
SHINNY-Patient-SSN	warning	Bundle	Every bundle should always have only 1 SSN (i.e SS) Object within patient.identifier	entry.select(resource as Patient).identifier.where(type.coding.code='SS' and value.trim().length() > 0).count() <= 1
SHINNY-Resources-Profile-Check	error	Bundle	SHINNY-Resources-Profile-Check	select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() = 0 and ( entry.select(resource as Patient).exists() implies entry.select(resource as Patient).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-patient'.upper()).count() = 0 ) and ( entry.select(resource as Encounter).exists() implies entry.select(resource as Encounter).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-encounter'.upper()).count() = 0 ) and ( entry.select(resource as Observation).exists() implies entry.select(resource as Observation).meta.where(profile.upper().startsWith('http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation'.upper()).not()).count() = 0 ) and ( entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest'.upper()).count() = 0 ) and ( entry.select(resource as Task).exists() implies entry.select(resource as Task).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHTaskForReferralManagement'.upper()).count() = 0 ) and ( entry.select(resource as Consent).exists() implies entry.select(resource as Consent).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-Consent'.upper()).count() = 0 ) .allTrue()
SHINNY-Screening-Consent	error	Bundle	All screening bundles must include a consent	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')).exists() implies entry.select(resource as Consent).exists()
SHINNY-Screening-Patient	error	Bundle	SDOH Screening Observations should have an Patient	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening') and hasMember.exists()) .all(subject.reference.exists())
SHINNYServiceRequestSDOHCategory	error	Bundle	Ensure that all Service Request categories have an SDOH code	entry.select(resource as ServiceRequest) .where(meta.profile.contains('SHINNYSDOHServiceRequest')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
Screening-Crosswalk-44255-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44255-8 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44255-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44255-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44255-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-44250-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44250-9 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44250-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44250-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44250-9') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-68517-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68517-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68517-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68517-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68517-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-68516-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68516-4 then answer codes must be one of the following: LA6111-4 LA13942-0 LA19282-5 LA28855-7 LA28858-1 LA28854-0 LA28853-2 LA28891-2 LA32059-0 LA32060-8	entry.select(resource as Observation).where(code.coding.code contains '68516-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68516-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68516-4') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA13942-0' or code='LA19282-5' or code='LA28855-7' or code='LA28858-1' or code='LA28854-0' or code='LA28853-2' or code='LA28891-2' or code='LA32059-0' or code='LA32060-8').exists()
Screening-Crosswalk-68524-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68524-8 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68524-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68524-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68524-8') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-69858-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69858-9 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69858-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69858-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69858-9') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-69861-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69861-3 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69861-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69861-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69861-3') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-71802-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 71802-3 then answer codes must be one of the following: LA31993-1, LA31994-9, LA31995-6	entry.select(resource as Observation).where(code.coding.code contains '71802-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '71802-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '71802-3') .value.select($this as CodeableConcept).coding .where(code='LA31993-1' or code='LA31994-9' or code='LA31995-6').exists()
Screening-Crosswalk-76513-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 76513-1 then answer codes must be one of the following: LA15832-1 LA22683-9 LA31980-8	entry.select(resource as Observation).where(code.coding.code contains '76513-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '76513-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '76513-1') .value.select($this as CodeableConcept).coding .where(code='LA15832-1' or code='LA22683-9' or code='LA31980-8').exists()
Screening-Crosswalk-88123-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88123-5 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88123-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88123-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88123-5') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-88122-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88122-7 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88122-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88122-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88122-7') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-89555-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 89555-7 then answer codes must be one of the following: LA6111-4 LA6112-2 LA6113-0 LA6114-8 LA6115-5 LA10137-0 LA10138-8 LA10139-6	entry.select(resource as Observation).where(code.coding.code contains '89555-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '89555-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '89555-7') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA6112-2' or code='LA6113-0' or code='LA6114-8' or code='LA6115-5' or code='LA10137-0' or code='LA10138-8' or code='LA10139-6').exists()
Screening-Crosswalk-93030-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93030-5 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '93030-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93030-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93030-5') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-93038-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93038-8 then answer codes must be one of the following: LA6568-5 LA13863-8 LA13909-9 LA13902-4 LA13914-9 LA30122-8	entry.select(resource as Observation).where(code.coding.code contains '93038-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93038-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93038-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA13863-8' or code='LA13909-9' or code='LA13902-4' or code='LA13914-9' or code='LA30122-8').exists()
Screening-Crosswalk-93159-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93159-2 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA10044-8 LA9933-8	entry.select(resource as Observation).where(code.coding.code contains '93159-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93159-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93159-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA10044-8' or code='LA9933-8').exists()
Screening-Crosswalk-95530-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95530-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '95530-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95530-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95530-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-95615-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95615-1 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95615-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95615-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95615-1') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95618-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95618-5 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95618-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95618-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95618-5') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95617-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95617-7 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95617-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95617-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95617-7') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95616-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95616-9 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95616-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95616-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95616-9') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-96779-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96779-4 then answer codes must be one of the following: LA33-6 LA32-8 LA32002-0	entry.select(resource as Observation).where(code.coding.code contains '96779-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96779-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96779-4') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8' or code='LA32002-0').exists()
Screening-Crosswalk-96778-6	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96778-6 then answer codes must be one of the following: LA31996-4 LA28580-1 LA31997-2 LA31998-0 LA31999-8 LA32000-4 LA32001-2 LA9-3	entry.select(resource as Observation).where(code.coding.code contains '96778-6').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96778-6').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96778-6') .value.select($this as CodeableConcept).coding .where(code='LA31996-4' or code='LA28580-1' or code='LA31997-2' or code='LA31998-0' or code='LA31999-8' or code='LA32000-4' or code='LA32001-2' or code='LA9-3').exists()
Screening-Crosswalk-96781-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96781-0 then answer codes must be one of the following: LA31976-6 LA31977-4 LA31978-2 LA31979-0	entry.select(resource as Observation).where(code.coding.code contains '96781-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96781-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96781-0') .value.select($this as CodeableConcept).coding .where(code='LA31976-6' or code='LA31977-4' or code='LA31978-2' or code='LA31978-2').exists()
Screening-Crosswalk-96780-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96780-2 then answer codes must be one of the following: LA31981-6 LA31982-4 LA31983-2	entry.select(resource as Observation).where(code.coding.code contains '96780-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96780-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96780-2') .value.select($this as CodeableConcept).coding .where(code='LA31981-6' or code='LA31982-4' or code='LA31983-2').exists()
Screening-Crosswalk-96782-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96782-8 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '96782-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96782-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96782-8') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-96842-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96842-0 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '96842-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96842-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96842-0') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-97027-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 97027-7 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '97027-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '97027-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '97027-7') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
ServiceRequest-AuthoredOn	warning	Bundle	Ensure that all Service Requests have a authored on date.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).all(authoredOn.exists())
ServiceRequest-CategoryCode	warning	Bundle	Ensure that all Service Requests have a category code.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).( all(category.exists()) and category.all(coding.exists()) and category.coding.all(code.exists()) )
ServiceRequest-OccurrencePeriod	warning	Bundle	Ensure that all Service Requests have an occurrence period start and end, or occurrence datetime.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).count() = ( entry.select(resource as ServiceRequest).where(occurrence is Period).select(occurrence) .where(start and end).count() + entry.select(resource as ServiceRequest).where(occurrence is dateTime).count() )
ServiceRequest-Quantity	warning	Bundle	Ensure that all Service Requests have a quantity.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest) .all(quantity.value.exists())
Task-EndPeriod	warning	Bundle	Ensure that all completed Tasks have an end execution period.	entry.select(resource as Task).where(status = 'completed').exists() implies entry.select(resource as Task).where(status = 'completed').all(executionPeriod.end.exists())
Task-Repetitions	warning	Bundle	Ensure that all Tasks have a value for repetitions.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(restriction.repetitions.exists())
Task-StartPeriod	warning	Bundle	Ensure that all Tasks have a starting execution period.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(executionPeriod.start.exists())
Task-StatusReason	error	Bundle	Ensure that all tasks exists, have a statusReason If the Task.status is rejected, cancelled, completed, or failed.	entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed').exists() implies entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed') .all(statusReason.text.exists())
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-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-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())
shinny-sexual-orientation	warning	Bundle	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')) .where(value.exists() or dataAbsentReason.exists()) .count()=1

Differential View

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: SHINNY-Patient-MRN, SHINNY-Patient-MA, SHINNY-Patient-SSN, SHINNY-Patient-Address, SHINNY-Patient-DOB, SHINNY-Patient-Gender, SHINNY-Patient-GenderId, SHINNY-Patient-Race-Ethnicity, SHINNY-Patient-Communication, SHINNY-Patient-MiddleName, SHINNY-Patient-Pronouns, shinny-sexual-orientation, SHINNY-Bundle-Obs-hasMember-RI, SHINNY-Encounter-Class, SHINNY-Encounter-Type, Encounter-PeriodStart, Encounter-PeriodEnd, SHINNY-Obs-Encounter, SHINNY-Obs-Patient, SHINNY-Obs-Code, SHINNY-Obs-Category, SHINNY-Screening-Patient, ObservationScreenRes-Langauge, ObservationScreenRes-CategoryDisplay, ObservationScreenRes-CodeCode, ObservationScreenRes-CodeDisplay, ObservationScreenRes-Interpretation, SHINNY-Screening-Consent, Assessment-ConditionID, Assessment-ConditionSNOMED, Assessment-ConditionICD10, Assessment-ApprovalQuestionnaire, Assessment-OutreachQuestionnaire, Assessment-AdminQuestionnaire, Assessment-ServiceDupQuestionnaire, SHINNY-Assessment-Encounter, SHINNY-Assessment-Patient, ServiceRequest-Quantity, ServiceRequest-CategoryCode, ServiceRequest-OccurrencePeriod, ServiceRequest-AuthoredOn, SHINNYServiceRequestSDOHCategory, Task-StatusReason, Task-Repetitions, Task-EndPeriod, Task-StartPeriod, Referral-ApprovalQuestionnaire, Referral-HRSNOutreachQuestionnaire, Referral-SCNOutreachQuestionnaire, SHINNY-Bundle-Required-Resources, SHINNY-Bundle-Required, SHINNY-Bundle-Patient-Org-RI, SHINNY-Bundle-Encounter-RI, SHINNY-Bundle-Obs-derivedFrom-RI, SHINNY-Bundle-Obs-Patient-RI, SHINNY-Bundle-Obs-Encounter-RI, Screening-Crosswalk-44250-9, Screening-Crosswalk-44255-8, Screening-Crosswalk-68516-4, Screening-Crosswalk-68517-2, Screening-Crosswalk-68524-8, Screening-Crosswalk-69858-9, Screening-Crosswalk-69861-3, Screening-Crosswalk-71802-3, Screening-Crosswalk-76513-1, Screening-Crosswalk-88122-7, Screening-Crosswalk-88123-5, Screening-Crosswalk-89555-7, Screening-Crosswalk-93030-5, Screening-Crosswalk-93038-8, Screening-Crosswalk-93159-2, Screening-Crosswalk-95530-2, Screening-Crosswalk-95615-1, Screening-Crosswalk-95616-9, Screening-Crosswalk-95617-7, Screening-Crosswalk-95618-5, Screening-Crosswalk-96778-6, Screening-Crosswalk-96779-4, Screening-Crosswalk-96780-2, Screening-Crosswalk-96781-0, Screening-Crosswalk-96782-8, Screening-Crosswalk-96842-0, Screening-Crosswalk-97027-7, SHINNY-Consent-Category, Consent-ProvisionType, SHINNY-Bundle-screening-consent, Goal-StatusDate, Goal-AchievementStatus, Location-Address, Location-Type, Organization-Address, Organization-Type, SHINNY-Resources-Profile-Check
id	S	1..1	id	Logical id of this artifact
meta	S	1..1	SHINNYMeta	Metadata about the resource
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
language		0..1	code	Language of the resource content Binding: SHINNYLanguageVS (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	SHINNYLanguageVS	📦1.9.3	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
Assessment-AdminQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|EnhancedPopulationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ServiceDuplicationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ClinicalCriteriaCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ApprovalQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to PatientAssessmentApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ConditionICD10	warning	Bundle	Ensure that all final assessments have a Condition ICD-10 term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://hl7.org/fhir/sid/icd-10-cm')) .count() and entry.select(resource as Condition).count() !=0
Assessment-ConditionID	warning	Bundle	Ensure that all final assessments have a Condition identifier.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status = 'final').exists() implies entry.select(resource as Observation) .where( meta.profile.contains('shinny-observation-assessment') and status = 'final' ).count() = entry.select(resource as Condition).id.count()
Assessment-ConditionSNOMED	warning	Bundle	Ensure that all final assessments have a Condition category SNOMED term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://snomed.info/sct')) .count() and entry.select(resource as Condition).count() !=0
Assessment-OutreachQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles with patient approval contain a Patient Assessment Outreach Date and a Patient Assessment Status.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachStatus)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ServiceDupQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentHousingProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalEducationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalServicesProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentFoodServiceProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentSNAPProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentWICProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTANFProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTransportationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicationRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|BreastMilkRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ADLs/IADLsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicalRespiteRequirementsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ChildcareAssistanceIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Consent-ProvisionType	warning	Bundle	Ensure that all Consents include a value for provision type.	entry.select(resource as Consent) .all(provision.type.exists())
Encounter-PeriodEnd	warning	Bundle	Ensure that all finished Encounters include a value for period.end.	entry.select(resource as Encounter) .where(status.contains('finished')) .all(period.end.exists())
Encounter-PeriodStart	warning	Bundle	Ensure that all Encounters include a value for period.start.	entry.select(resource as Encounter) .all(period.start.exists())
Goal-AchievementStatus	warning	Bundle	Ensure that all Goals include a value for achivementStatus.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(achievementStatus.exists())
Goal-StatusDate	warning	Bundle	Ensure that all Goals include a value for statusDate.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(statusDate.exists())
Location-Address	warning	Bundle	Ensure that all Location resources include all address elements.	entry.select(resource as Location). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Location-Type	warning	Bundle	Ensure that all Location resources include a value for type.	entry.select(resource as Location).exists() implies entry.select(resource as Location).all(type.exists())
ObservationScreenRes-CategoryDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a category display.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .category.coding.where( system.contains('/CodeSystem/observation-category').not() ). all(display.exists())
ObservationScreenRes-CodeCode	warning	Bundle	Ensure that all Observation Screening Responses have a code code.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(code.exists())
ObservationScreenRes-CodeDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a code dispay.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(display.exists())
ObservationScreenRes-Interpretation	warning	Bundle	Ensure that specific Observation Screening Responses have an interpretation.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .where(derivedFrom.exists().not()) .all(interpretation.exists())
ObservationScreenRes-Langauge	warning	Bundle	Ensure that all Observation Screening Responses have a language.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .all(language.exists())
Organization-Address	warning	Bundle	Ensure that all Organization resources include all address elements.	entry.select(resource as Organization). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Organization-Type	warning	Bundle	Ensure that all Organization resources include a value for type.	entry.select(resource as Organization).exists() implies entry.select(resource as Organization).all(type.exists())
Referral-ApprovalQuestionnaire	warning	Bundle	Ensure that all Referral Questionnaire bundles have a response to PatientReferralApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-HRSNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to HRSNServiceProviderReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|HRSNServiceProviderReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-SCNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to SCNReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|SCNReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
SHINNY-Assessment-Encounter	error	Bundle	Assessment-Encounter should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(encounter.reference.exists().not()) .count()=0
SHINNY-Assessment-Patient	error	Bundle	Assessment-Subject should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(subject.reference.exists().not()) .count()=0
SHINNY-Bundle-Encounter-RI	error	Bundle	Checks for RI between all resources & Encounter	entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .intersect( entry.select(resource as Encounter).id ) .count() = entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .count()
SHINNY-Bundle-Obs-Encounter-RI	error	Bundle	Checks for RI between Screening Obs & Encounter	entry.select(resource as Observation) .exists(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) .select(encounter.reference.split('/')[1]).distinct() = entry.select(resource as Encounter).id
SHINNY-Bundle-Obs-Patient-RI	error	Bundle	Checks for RI between Obs & Patient	entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')).count()>1 implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')) .encounter.reference.distinct() .contains(entry.select(resource as Encounter).id)
SHINNY-Bundle-Obs-derivedFrom-RI	error	Bundle	Checks for RI between Observation & child Observation	entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .derivedFrom.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(derivedFrom.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .derivedFrom.reference .count()
SHINNY-Bundle-Obs-hasMember-RI	error	Bundle	Checks for RI between Observation & child Observations	entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .hasMember.reference .count() and (entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).exists() implies entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).id) .count() = entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).count())
SHINNY-Bundle-Patient-Org-RI	error	Bundle	Checks for RI between Patient & Assigning Org	entry.select(resource as Organization).id contains entry.select(resource as Patient) .identifier.where(type.coding.code='MR') .assigner.reference.split('/')[1]
SHINNY-Bundle-Required	error	Bundle	Every submitted resource should be part of a bundle.	select($this as Bundle).exists()
SHINNY-Bundle-Required-Resources	error	Bundle	Every bundle should always have one and only one 'Patient' & 'Encounter' and atleast one Org	entry.select(resource as Patient).count() = 1 and entry.select(resource as Encounter).count() > 0 and entry.select(resource as Organization).count() > 0
SHINNY-Bundle-screening-consent	error	Bundle	Ensures all bundles with a screening included also includes the consent profile.	( (select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() > 0) and ( entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening')).count() > 0 ) ) implies entry.select(resource as Consent).exists()
SHINNY-Consent-Category	warning	Bundle	Patient Consent category code is 59284-0	entry.select(resource as Consent).exists() implies entry.select(resource as Consent).category.coding.where(code='59284-0').exists()
SHINNY-Encounter-Class	warning	Bundle	Ensure that the Encounter resource has a class code; Ensure that the Encounter resource has a class code system	entry.select(resource as Encounter).class .all(code.exists() and system.exists())
SHINNY-Encounter-Type	warning	Bundle	Ensure that the Encounter resource has a status code	entry.select(resource as Encounter).type.coding .all(code.exists() and system.exists())
SHINNY-Obs-Category	error	Bundle	Ensure that all Observation categories have an SDOH code	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
SHINNY-Obs-Code	warning	Bundle	Ensure that all Observation resources have screening code; Ensure that all Observation resources have screening code system	entry.select(resource as Observation).where( code.coding.system.exists().not() or code.coding.code.not().exists().not()) .count() = 0
SHINNY-Obs-Encounter	warning	Bundle	SDOH Observations should have an Encounter	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')) .all(encounter.reference.exists())
SHINNY-Obs-Patient	warning	Bundle	SDOH Observations should have a Patient	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation')) .all(subject.reference.exists())
SHINNY-Patient-Address	warning	Bundle	All elements of address should be present	entry.select(resource as Patient). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
SHINNY-Patient-Communication	warning	Bundle	Communication should exist	entry.select(resource as Patient).communication.exists()
SHINNY-Patient-DOB	error	Bundle	birthDate should be a valid date	entry.select(resource as Patient).birthDate.trim().length() = 10 and entry.select(resource as Patient).birthDate.trim().split('-').count() = 3
SHINNY-Patient-Gender	error	Bundle	Gender should be present	entry.select(resource as Patient).where(gender.exists() and gender.trim().length()).count() > 0
SHINNY-Patient-GenderId	warning	Bundle	Gender Id should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').count() > 0
SHINNY-Patient-MA	error	Bundle	Every bundle should always have only 1 Medicaid CIN (i.e MA) Object within patient.identifier AND the CIN is always in the format of 2 letters, 5 numbers, and 1 letter, e.g., 'AB12345C'	entry.select(resource as Patient).identifier.where(type.coding.code='MA' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where( value.trim().length() = 8 and type.coding.code='MA' and value.substring(0,1).matches('^[a-zA-Z]+$') and value.substring(1,1).matches('^[a-zA-Z]+$') and value.substring(2,1).matches('^[0-9]*$') and value.substring(3,1).matches('^[0-9]*$') and value.substring(4,1).matches('^[0-9]*$') and value.substring(5,1).matches('^[0-9]*$') and value.substring(6,1).matches('^[0-9]*$') and value.substring(7,1).matches('^[a-zA-Z]+$') ).exists()
SHINNY-Patient-MRN	error	Bundle	Every bundle should always have only 1 MR (i.e MRN) Object within patient.identifier, system.contains('facility') and value (MRN) is provided	entry.select(resource as Patient).identifier.where(type.coding.code='MR' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where(system.contains('facility'))
SHINNY-Patient-MiddleName	warning	Bundle	MiddleName should be present	entry.select(resource as Patient).name .extension.where(url.contains('middle-name')) .value.trim().length()>0
SHINNY-Patient-Pronouns	warning	Bundle	Pronouns should be present	entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS').exists() implies entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS' and value.select($this as CodeableConcept).coding.code.exists()).exists()
SHINNY-Patient-Race-Ethnicity	warning	Bundle	Race & Ethnicity should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.where(url='ombCategory' and value.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists().not() implies entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').exists() and entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').exists()
SHINNY-Patient-SSN	warning	Bundle	Every bundle should always have only 1 SSN (i.e SS) Object within patient.identifier	entry.select(resource as Patient).identifier.where(type.coding.code='SS' and value.trim().length() > 0).count() <= 1
SHINNY-Resources-Profile-Check	error	Bundle	SHINNY-Resources-Profile-Check	select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() = 0 and ( entry.select(resource as Patient).exists() implies entry.select(resource as Patient).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-patient'.upper()).count() = 0 ) and ( entry.select(resource as Encounter).exists() implies entry.select(resource as Encounter).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-encounter'.upper()).count() = 0 ) and ( entry.select(resource as Observation).exists() implies entry.select(resource as Observation).meta.where(profile.upper().startsWith('http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation'.upper()).not()).count() = 0 ) and ( entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest'.upper()).count() = 0 ) and ( entry.select(resource as Task).exists() implies entry.select(resource as Task).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHTaskForReferralManagement'.upper()).count() = 0 ) and ( entry.select(resource as Consent).exists() implies entry.select(resource as Consent).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-Consent'.upper()).count() = 0 ) .allTrue()
SHINNY-Screening-Consent	error	Bundle	All screening bundles must include a consent	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')).exists() implies entry.select(resource as Consent).exists()
SHINNY-Screening-Patient	error	Bundle	SDOH Screening Observations should have an Patient	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening') and hasMember.exists()) .all(subject.reference.exists())
SHINNYServiceRequestSDOHCategory	error	Bundle	Ensure that all Service Request categories have an SDOH code	entry.select(resource as ServiceRequest) .where(meta.profile.contains('SHINNYSDOHServiceRequest')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
Screening-Crosswalk-44255-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44255-8 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44255-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44255-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44255-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-44250-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44250-9 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44250-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44250-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44250-9') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-68517-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68517-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68517-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68517-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68517-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-68516-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68516-4 then answer codes must be one of the following: LA6111-4 LA13942-0 LA19282-5 LA28855-7 LA28858-1 LA28854-0 LA28853-2 LA28891-2 LA32059-0 LA32060-8	entry.select(resource as Observation).where(code.coding.code contains '68516-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68516-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68516-4') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA13942-0' or code='LA19282-5' or code='LA28855-7' or code='LA28858-1' or code='LA28854-0' or code='LA28853-2' or code='LA28891-2' or code='LA32059-0' or code='LA32060-8').exists()
Screening-Crosswalk-68524-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68524-8 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68524-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68524-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68524-8') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-69858-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69858-9 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69858-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69858-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69858-9') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-69861-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69861-3 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69861-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69861-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69861-3') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-71802-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 71802-3 then answer codes must be one of the following: LA31993-1, LA31994-9, LA31995-6	entry.select(resource as Observation).where(code.coding.code contains '71802-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '71802-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '71802-3') .value.select($this as CodeableConcept).coding .where(code='LA31993-1' or code='LA31994-9' or code='LA31995-6').exists()
Screening-Crosswalk-76513-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 76513-1 then answer codes must be one of the following: LA15832-1 LA22683-9 LA31980-8	entry.select(resource as Observation).where(code.coding.code contains '76513-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '76513-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '76513-1') .value.select($this as CodeableConcept).coding .where(code='LA15832-1' or code='LA22683-9' or code='LA31980-8').exists()
Screening-Crosswalk-88123-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88123-5 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88123-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88123-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88123-5') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-88122-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88122-7 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88122-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88122-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88122-7') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-89555-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 89555-7 then answer codes must be one of the following: LA6111-4 LA6112-2 LA6113-0 LA6114-8 LA6115-5 LA10137-0 LA10138-8 LA10139-6	entry.select(resource as Observation).where(code.coding.code contains '89555-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '89555-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '89555-7') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA6112-2' or code='LA6113-0' or code='LA6114-8' or code='LA6115-5' or code='LA10137-0' or code='LA10138-8' or code='LA10139-6').exists()
Screening-Crosswalk-93030-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93030-5 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '93030-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93030-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93030-5') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-93038-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93038-8 then answer codes must be one of the following: LA6568-5 LA13863-8 LA13909-9 LA13902-4 LA13914-9 LA30122-8	entry.select(resource as Observation).where(code.coding.code contains '93038-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93038-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93038-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA13863-8' or code='LA13909-9' or code='LA13902-4' or code='LA13914-9' or code='LA30122-8').exists()
Screening-Crosswalk-93159-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93159-2 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA10044-8 LA9933-8	entry.select(resource as Observation).where(code.coding.code contains '93159-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93159-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93159-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA10044-8' or code='LA9933-8').exists()
Screening-Crosswalk-95530-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95530-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '95530-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95530-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95530-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-95615-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95615-1 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95615-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95615-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95615-1') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95618-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95618-5 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95618-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95618-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95618-5') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95617-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95617-7 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95617-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95617-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95617-7') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95616-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95616-9 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95616-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95616-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95616-9') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-96779-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96779-4 then answer codes must be one of the following: LA33-6 LA32-8 LA32002-0	entry.select(resource as Observation).where(code.coding.code contains '96779-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96779-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96779-4') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8' or code='LA32002-0').exists()
Screening-Crosswalk-96778-6	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96778-6 then answer codes must be one of the following: LA31996-4 LA28580-1 LA31997-2 LA31998-0 LA31999-8 LA32000-4 LA32001-2 LA9-3	entry.select(resource as Observation).where(code.coding.code contains '96778-6').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96778-6').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96778-6') .value.select($this as CodeableConcept).coding .where(code='LA31996-4' or code='LA28580-1' or code='LA31997-2' or code='LA31998-0' or code='LA31999-8' or code='LA32000-4' or code='LA32001-2' or code='LA9-3').exists()
Screening-Crosswalk-96781-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96781-0 then answer codes must be one of the following: LA31976-6 LA31977-4 LA31978-2 LA31979-0	entry.select(resource as Observation).where(code.coding.code contains '96781-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96781-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96781-0') .value.select($this as CodeableConcept).coding .where(code='LA31976-6' or code='LA31977-4' or code='LA31978-2' or code='LA31978-2').exists()
Screening-Crosswalk-96780-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96780-2 then answer codes must be one of the following: LA31981-6 LA31982-4 LA31983-2	entry.select(resource as Observation).where(code.coding.code contains '96780-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96780-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96780-2') .value.select($this as CodeableConcept).coding .where(code='LA31981-6' or code='LA31982-4' or code='LA31983-2').exists()
Screening-Crosswalk-96782-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96782-8 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '96782-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96782-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96782-8') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-96842-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96842-0 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '96842-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96842-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96842-0') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-97027-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 97027-7 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '97027-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '97027-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '97027-7') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
ServiceRequest-AuthoredOn	warning	Bundle	Ensure that all Service Requests have a authored on date.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).all(authoredOn.exists())
ServiceRequest-CategoryCode	warning	Bundle	Ensure that all Service Requests have a category code.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).( all(category.exists()) and category.all(coding.exists()) and category.coding.all(code.exists()) )
ServiceRequest-OccurrencePeriod	warning	Bundle	Ensure that all Service Requests have an occurrence period start and end, or occurrence datetime.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).count() = ( entry.select(resource as ServiceRequest).where(occurrence is Period).select(occurrence) .where(start and end).count() + entry.select(resource as ServiceRequest).where(occurrence is dateTime).count() )
ServiceRequest-Quantity	warning	Bundle	Ensure that all Service Requests have a quantity.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest) .all(quantity.value.exists())
Task-EndPeriod	warning	Bundle	Ensure that all completed Tasks have an end execution period.	entry.select(resource as Task).where(status = 'completed').exists() implies entry.select(resource as Task).where(status = 'completed').all(executionPeriod.end.exists())
Task-Repetitions	warning	Bundle	Ensure that all Tasks have a value for repetitions.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(restriction.repetitions.exists())
Task-StartPeriod	warning	Bundle	Ensure that all Tasks have a starting execution period.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(executionPeriod.start.exists())
Task-StatusReason	error	Bundle	Ensure that all tasks exists, have a statusReason If the Task.status is rejected, cancelled, completed, or failed.	entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed').exists() implies entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed') .all(statusReason.text.exists())
shinny-sexual-orientation	warning	Bundle	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')) .where(value.exists() or dataAbsentReason.exists()) .count()=1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, SHINNY-Patient-MRN, SHINNY-Patient-MA, SHINNY-Patient-SSN, SHINNY-Patient-Address, SHINNY-Patient-DOB, SHINNY-Patient-Gender, SHINNY-Patient-GenderId, SHINNY-Patient-Race-Ethnicity, SHINNY-Patient-Communication, SHINNY-Patient-MiddleName, SHINNY-Patient-Pronouns, shinny-sexual-orientation, SHINNY-Bundle-Obs-hasMember-RI, SHINNY-Encounter-Class, SHINNY-Encounter-Type, Encounter-PeriodStart, Encounter-PeriodEnd, SHINNY-Obs-Encounter, SHINNY-Obs-Patient, SHINNY-Obs-Code, SHINNY-Obs-Category, SHINNY-Screening-Patient, ObservationScreenRes-Langauge, ObservationScreenRes-CategoryDisplay, ObservationScreenRes-CodeCode, ObservationScreenRes-CodeDisplay, ObservationScreenRes-Interpretation, SHINNY-Screening-Consent, Assessment-ConditionID, Assessment-ConditionSNOMED, Assessment-ConditionICD10, Assessment-ApprovalQuestionnaire, Assessment-OutreachQuestionnaire, Assessment-AdminQuestionnaire, Assessment-ServiceDupQuestionnaire, SHINNY-Assessment-Encounter, SHINNY-Assessment-Patient, ServiceRequest-Quantity, ServiceRequest-CategoryCode, ServiceRequest-OccurrencePeriod, ServiceRequest-AuthoredOn, SHINNYServiceRequestSDOHCategory, Task-StatusReason, Task-Repetitions, Task-EndPeriod, Task-StartPeriod, Referral-ApprovalQuestionnaire, Referral-HRSNOutreachQuestionnaire, Referral-SCNOutreachQuestionnaire, SHINNY-Bundle-Required-Resources, SHINNY-Bundle-Required, SHINNY-Bundle-Patient-Org-RI, SHINNY-Bundle-Encounter-RI, SHINNY-Bundle-Obs-derivedFrom-RI, SHINNY-Bundle-Obs-Patient-RI, SHINNY-Bundle-Obs-Encounter-RI, Screening-Crosswalk-44250-9, Screening-Crosswalk-44255-8, Screening-Crosswalk-68516-4, Screening-Crosswalk-68517-2, Screening-Crosswalk-68524-8, Screening-Crosswalk-69858-9, Screening-Crosswalk-69861-3, Screening-Crosswalk-71802-3, Screening-Crosswalk-76513-1, Screening-Crosswalk-88122-7, Screening-Crosswalk-88123-5, Screening-Crosswalk-89555-7, Screening-Crosswalk-93030-5, Screening-Crosswalk-93038-8, Screening-Crosswalk-93159-2, Screening-Crosswalk-95530-2, Screening-Crosswalk-95615-1, Screening-Crosswalk-95616-9, Screening-Crosswalk-95617-7, Screening-Crosswalk-95618-5, Screening-Crosswalk-96778-6, Screening-Crosswalk-96779-4, Screening-Crosswalk-96780-2, Screening-Crosswalk-96781-0, Screening-Crosswalk-96782-8, Screening-Crosswalk-96842-0, Screening-Crosswalk-97027-7, SHINNY-Consent-Category, Consent-ProvisionType, SHINNY-Bundle-screening-consent, Goal-StatusDate, Goal-AchievementStatus, Location-Address, Location-Type, Organization-Address, Organization-Type, SHINNY-Resources-Profile-Check
id	SΣ	1..1	id	Logical id of this artifact
meta	SΣ	1..1	SHINNYMeta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	SΣ	1..1	instant	When the resource version was created or last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to
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	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: SHINNYLanguageVS (preferred)
identifier	Σ	0..1	Identifier	Persistent identifier for the bundle
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.
timestamp	Σ	0..1	instant	When the bundle was assembled
total	ΣC	0..1	unsignedInt	If search, the total number of matches
link	Σ	0..*	BackboneElement	Links related to this Bundle
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	Σ	0..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	0..1	Resource	A resource in the bundle
search	ΣC	0..1	BackboneElement	Search related information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	ΣC	0..1	BackboneElement	Additional execution information (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	ΣC	0..1	BackboneElement	Results of execution (transaction/batch/history)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
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	0..1	Signature	Digital Signature
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Bundle.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Bundle.language	Base	preferred	SHINNYLanguageVS	📦1.9.3	This IG
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
Assessment-AdminQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|EnhancedPopulationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ServiceDuplicationCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ClinicalCriteriaCheck)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ApprovalQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to PatientAssessmentApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ConditionICD10	warning	Bundle	Ensure that all final assessments have a Condition ICD-10 term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://hl7.org/fhir/sid/icd-10-cm')) .count() and entry.select(resource as Condition).count() !=0
Assessment-ConditionID	warning	Bundle	Ensure that all final assessments have a Condition identifier.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status = 'final').exists() implies entry.select(resource as Observation) .where( meta.profile.contains('shinny-observation-assessment') and status = 'final' ).count() = entry.select(resource as Condition).id.count()
Assessment-ConditionSNOMED	warning	Bundle	Ensure that all final assessments have a Condition category SNOMED term.	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment') and status='final').exists() implies entry.select(resource as Condition).count() = entry.select(resource as Condition).select(code.coding) .where(system.contains('http://snomed.info/sct')) .count() and entry.select(resource as Condition).count() !=0
Assessment-OutreachQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles with patient approval contain a Patient Assessment Outreach Date and a Patient Assessment Status.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|PatientAssessmentOutreachStatus)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Assessment-ServiceDupQuestionnaire	warning	Bundle	Ensure that all Assessment Questionnaire bundles have a response to the service duplication indicators.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientAssessmentApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentHousingProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalEducationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentNutritionalServicesProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentFoodServiceProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentSNAPProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentWICProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTANFProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|CurrentTransportationProgramRecipientIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicationRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|BreastMilkRequiringRefrigerationIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ADLs/IADLsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|MedicalRespiteRequirementsIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|ChildcareAssistanceIndicator)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Consent-ProvisionType	warning	Bundle	Ensure that all Consents include a value for provision type.	entry.select(resource as Consent) .all(provision.type.exists())
Encounter-PeriodEnd	warning	Bundle	Ensure that all finished Encounters include a value for period.end.	entry.select(resource as Encounter) .where(status.contains('finished')) .all(period.end.exists())
Encounter-PeriodStart	warning	Bundle	Ensure that all Encounters include a value for period.start.	entry.select(resource as Encounter) .all(period.start.exists())
Goal-AchievementStatus	warning	Bundle	Ensure that all Goals include a value for achivementStatus.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(achievementStatus.exists())
Goal-StatusDate	warning	Bundle	Ensure that all Goals include a value for statusDate.	entry.select(resource as Goal).exists() implies entry.select(resource as Goal).all(statusDate.exists())
Location-Address	warning	Bundle	Ensure that all Location resources include all address elements.	entry.select(resource as Location). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Location-Type	warning	Bundle	Ensure that all Location resources include a value for type.	entry.select(resource as Location).exists() implies entry.select(resource as Location).all(type.exists())
ObservationScreenRes-CategoryDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a category display.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .category.coding.where( system.contains('/CodeSystem/observation-category').not() ). all(display.exists())
ObservationScreenRes-CodeCode	warning	Bundle	Ensure that all Observation Screening Responses have a code code.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(code.exists())
ObservationScreenRes-CodeDisplay	warning	Bundle	Ensure that all Observation Screening Responses have a code dispay.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .code.coding .all(display.exists())
ObservationScreenRes-Interpretation	warning	Bundle	Ensure that specific Observation Screening Responses have an interpretation.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .where(derivedFrom.exists().not()) .all(interpretation.exists())
ObservationScreenRes-Langauge	warning	Bundle	Ensure that all Observation Screening Responses have a language.	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response') ) .all(language.exists())
Organization-Address	warning	Bundle	Ensure that all Organization resources include all address elements.	entry.select(resource as Organization). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
Organization-Type	warning	Bundle	Ensure that all Organization resources include a value for type.	entry.select(resource as Organization).exists() implies entry.select(resource as Organization).all(type.exists())
Referral-ApprovalQuestionnaire	warning	Bundle	Ensure that all Referral Questionnaire bundles have a response to PatientReferralApproval.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() or (QuestionnaireResponse|repeat('No'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-HRSNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to HRSNServiceProviderReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|HRSNServiceProviderReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
Referral-SCNOutreachQuestionnaire	warning	Bundle	Ensure that all approved Referral Questionnaire bundles have a response to SCNReferralOutreachDate.	entry.select(resource as QuestionnaireResponse).exists() implies entry.select(resource as QuestionnaireResponse).exists ( (QuestionnaireResponse|repeat('Yes'|PatientReferralApproval)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() and (QuestionnaireResponse|repeat(''|SCNReferralOutreachDate)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue() )
SHINNY-Assessment-Encounter	error	Bundle	Assessment-Encounter should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(encounter.reference.exists().not()) .count()=0
SHINNY-Assessment-Patient	error	Bundle	Assessment-Subject should exist	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-assessment')) .where(subject.reference.exists().not()) .count()=0
SHINNY-Bundle-Encounter-RI	error	Bundle	Checks for RI between all resources & Encounter	entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .intersect( entry.select(resource as Encounter).id ) .count() = entry.select(resource) .where(encounter.exists()) .encounter.select(reference.split('/')[1]).distinct() .count()
SHINNY-Bundle-Obs-Encounter-RI	error	Bundle	Checks for RI between Screening Obs & Encounter	entry.select(resource as Observation) .exists(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation-screening-response')) .select(encounter.reference.split('/')[1]).distinct() = entry.select(resource as Encounter).id
SHINNY-Bundle-Obs-Patient-RI	error	Bundle	Checks for RI between Obs & Patient	entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')).count()>1 implies entry.select(resource as Observation) .where(encounter.reference.exists() and meta.profile.contains('shinny-observation')) .encounter.reference.distinct() .contains(entry.select(resource as Encounter).id)
SHINNY-Bundle-Obs-derivedFrom-RI	error	Bundle	Checks for RI between Observation & child Observation	entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .derivedFrom.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(derivedFrom.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(derivedFrom.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .derivedFrom.reference .count()
SHINNY-Bundle-Obs-hasMember-RI	error	Bundle	Checks for RI between Observation & child Observations	entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).id) .count() = entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or $this.meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))) .hasMember.reference .count() and (entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))).exists() implies entry.select(resource as Observation) .where(hasMember.exists() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observation')))) .hasMember.select(reference.split('/')[1]) .intersect( entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).id) .count() = entry.select(resource as Observation).where(hasMember.empty() and (meta.where(profile.lower().contains('shinny-observation-screening-response')) or meta.where(profile.lower().contains('sdohcc-observationscreeningresponse')))).count())
SHINNY-Bundle-Patient-Org-RI	error	Bundle	Checks for RI between Patient & Assigning Org	entry.select(resource as Organization).id contains entry.select(resource as Patient) .identifier.where(type.coding.code='MR') .assigner.reference.split('/')[1]
SHINNY-Bundle-Required	error	Bundle	Every submitted resource should be part of a bundle.	select($this as Bundle).exists()
SHINNY-Bundle-Required-Resources	error	Bundle	Every bundle should always have one and only one 'Patient' & 'Encounter' and atleast one Org	entry.select(resource as Patient).count() = 1 and entry.select(resource as Encounter).count() > 0 and entry.select(resource as Organization).count() > 0
SHINNY-Bundle-screening-consent	error	Bundle	Ensures all bundles with a screening included also includes the consent profile.	( (select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() > 0) and ( entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening')).count() > 0 ) ) implies entry.select(resource as Consent).exists()
SHINNY-Consent-Category	warning	Bundle	Patient Consent category code is 59284-0	entry.select(resource as Consent).exists() implies entry.select(resource as Consent).category.coding.where(code='59284-0').exists()
SHINNY-Encounter-Class	warning	Bundle	Ensure that the Encounter resource has a class code; Ensure that the Encounter resource has a class code system	entry.select(resource as Encounter).class .all(code.exists() and system.exists())
SHINNY-Encounter-Type	warning	Bundle	Ensure that the Encounter resource has a status code	entry.select(resource as Encounter).type.coding .all(code.exists() and system.exists())
SHINNY-Obs-Category	error	Bundle	Ensure that all Observation categories have an SDOH code	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening-response')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
SHINNY-Obs-Code	warning	Bundle	Ensure that all Observation resources have screening code; Ensure that all Observation resources have screening code system	entry.select(resource as Observation).where( code.coding.system.exists().not() or code.coding.code.not().exists().not()) .count() = 0
SHINNY-Obs-Encounter	warning	Bundle	SDOH Observations should have an Encounter	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')) .all(encounter.reference.exists())
SHINNY-Obs-Patient	warning	Bundle	SDOH Observations should have a Patient	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation')) .all(subject.reference.exists())
SHINNY-Patient-Address	warning	Bundle	All elements of address should be present	entry.select(resource as Patient). address.where(line.count() > 0 and city.trim().length() > 0 and state.trim().length() > 0 and postalCode.trim().length() > 0 and district.trim().length() > 0).count() > 0
SHINNY-Patient-Communication	warning	Bundle	Communication should exist	entry.select(resource as Patient).communication.exists()
SHINNY-Patient-DOB	error	Bundle	birthDate should be a valid date	entry.select(resource as Patient).birthDate.trim().length() = 10 and entry.select(resource as Patient).birthDate.trim().split('-').count() = 3
SHINNY-Patient-Gender	error	Bundle	Gender should be present	entry.select(resource as Patient).where(gender.exists() and gender.trim().length()).count() > 0
SHINNY-Patient-GenderId	warning	Bundle	Gender Id should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex').count() > 0
SHINNY-Patient-MA	error	Bundle	Every bundle should always have only 1 Medicaid CIN (i.e MA) Object within patient.identifier AND the CIN is always in the format of 2 letters, 5 numbers, and 1 letter, e.g., 'AB12345C'	entry.select(resource as Patient).identifier.where(type.coding.code='MA' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where( value.trim().length() = 8 and type.coding.code='MA' and value.substring(0,1).matches('^[a-zA-Z]+$') and value.substring(1,1).matches('^[a-zA-Z]+$') and value.substring(2,1).matches('^[0-9]*$') and value.substring(3,1).matches('^[0-9]*$') and value.substring(4,1).matches('^[0-9]*$') and value.substring(5,1).matches('^[0-9]*$') and value.substring(6,1).matches('^[0-9]*$') and value.substring(7,1).matches('^[a-zA-Z]+$') ).exists()
SHINNY-Patient-MRN	error	Bundle	Every bundle should always have only 1 MR (i.e MRN) Object within patient.identifier, system.contains('facility') and value (MRN) is provided	entry.select(resource as Patient).identifier.where(type.coding.code='MR' and value.trim().length() > 0).count() = 1 and entry.select(resource as Patient).identifier.where(system.contains('facility'))
SHINNY-Patient-MiddleName	warning	Bundle	MiddleName should be present	entry.select(resource as Patient).name .extension.where(url.contains('middle-name')) .value.trim().length()>0
SHINNY-Patient-Pronouns	warning	Bundle	Pronouns should be present	entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS').exists() implies entry.select(resource as Patient).extension.where(url='http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYPersonalPronounsVS' and value.select($this as CodeableConcept).coding.code.exists()).exists()
SHINNY-Patient-Race-Ethnicity	warning	Bundle	Race & Ethnicity should be present	entry.select(resource as Patient).extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').extension.where(url='ombCategory' and value.system = 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor').exists().not() implies entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-race').exists() and entry.select(resource as Patient). extension.where(url='http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity').exists()
SHINNY-Patient-SSN	warning	Bundle	Every bundle should always have only 1 SSN (i.e SS) Object within patient.identifier	entry.select(resource as Patient).identifier.where(type.coding.code='SS' and value.trim().length() > 0).count() <= 1
SHINNY-Resources-Profile-Check	error	Bundle	SHINNY-Resources-Profile-Check	select($this as Bundle).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYBundleProfile'.upper()).count() = 0 and ( entry.select(resource as Patient).exists() implies entry.select(resource as Patient).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-patient'.upper()).count() = 0 ) and ( entry.select(resource as Encounter).exists() implies entry.select(resource as Encounter).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-encounter'.upper()).count() = 0 ) and ( entry.select(resource as Observation).exists() implies entry.select(resource as Observation).meta.where(profile.upper().startsWith('http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation'.upper()).not()).count() = 0 ) and ( entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHServiceRequest'.upper()).count() = 0 ) and ( entry.select(resource as Task).exists() implies entry.select(resource as Task).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYSDOHTaskForReferralManagement'.upper()).count() = 0 ) and ( entry.select(resource as Consent).exists() implies entry.select(resource as Consent).where(meta.profile.upper() != 'http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-Consent'.upper()).count() = 0 ) .allTrue()
SHINNY-Screening-Consent	error	Bundle	All screening bundles must include a consent	entry.select(resource as Observation).where(meta.profile.contains('shinny-observation-screening-response')).exists() implies entry.select(resource as Consent).exists()
SHINNY-Screening-Patient	error	Bundle	SDOH Screening Observations should have an Patient	entry.select(resource as Observation) .where(meta.profile.contains('shinny-observation-screening') and hasMember.exists()) .all(subject.reference.exists())
SHINNYServiceRequestSDOHCategory	error	Bundle	Ensure that all Service Request categories have an SDOH code	entry.select(resource as ServiceRequest) .where(meta.profile.contains('SHINNYSDOHServiceRequest')) .all(category.coding.system .exists($this.contains('SDOHCC-CodeSystemTemporaryCodes')))
Screening-Crosswalk-44255-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44255-8 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44255-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44255-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44255-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-44250-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 44250-9 then answer codes must be one of the following: LA6568-5 LA6569-3 LA6570-1 LA6571-9	entry.select(resource as Observation).where(code.coding.code contains '44250-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '44250-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '44250-9') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA6569-3' or code='LA6570-1' or code='LA6571-9').exists()
Screening-Crosswalk-68517-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68517-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68517-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68517-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68517-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-68516-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68516-4 then answer codes must be one of the following: LA6111-4 LA13942-0 LA19282-5 LA28855-7 LA28858-1 LA28854-0 LA28853-2 LA28891-2 LA32059-0 LA32060-8	entry.select(resource as Observation).where(code.coding.code contains '68516-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68516-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68516-4') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA13942-0' or code='LA19282-5' or code='LA28855-7' or code='LA28858-1' or code='LA28854-0' or code='LA28853-2' or code='LA28891-2' or code='LA32059-0' or code='LA32060-8').exists()
Screening-Crosswalk-68524-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 68524-8 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '68524-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '68524-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '68524-8') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-69858-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69858-9 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69858-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69858-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69858-9') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-69861-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 69861-3 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '69861-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '69861-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '69861-3') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-71802-3	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 71802-3 then answer codes must be one of the following: LA31993-1, LA31994-9, LA31995-6	entry.select(resource as Observation).where(code.coding.code contains '71802-3').exists() implies entry.select(resource as Observation).where(code.coding.code contains '71802-3').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '71802-3') .value.select($this as CodeableConcept).coding .where(code='LA31993-1' or code='LA31994-9' or code='LA31995-6').exists()
Screening-Crosswalk-76513-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 76513-1 then answer codes must be one of the following: LA15832-1 LA22683-9 LA31980-8	entry.select(resource as Observation).where(code.coding.code contains '76513-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '76513-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '76513-1') .value.select($this as CodeableConcept).coding .where(code='LA15832-1' or code='LA22683-9' or code='LA31980-8').exists()
Screening-Crosswalk-88123-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88123-5 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88123-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88123-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88123-5') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-88122-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 88122-7 then answer codes must be one of the following: LA28397-0 LA6729-3 LA28398-8	entry.select(resource as Observation).where(code.coding.code contains '88122-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '88122-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '88122-7') .value.select($this as CodeableConcept).coding .where(code='LA28397-0' or code='LA6729-3' or code='LA28398-8').exists()
Screening-Crosswalk-89555-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 89555-7 then answer codes must be one of the following: LA6111-4 LA6112-2 LA6113-0 LA6114-8 LA6115-5 LA10137-0 LA10138-8 LA10139-6	entry.select(resource as Observation).where(code.coding.code contains '89555-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '89555-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '89555-7') .value.select($this as CodeableConcept).coding .where(code='LA6111-4' or code='LA6112-2' or code='LA6113-0' or code='LA6114-8' or code='LA6115-5' or code='LA10137-0' or code='LA10138-8' or code='LA10139-6').exists()
Screening-Crosswalk-93030-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93030-5 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '93030-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93030-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93030-5') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-93038-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93038-8 then answer codes must be one of the following: LA6568-5 LA13863-8 LA13909-9 LA13902-4 LA13914-9 LA30122-8	entry.select(resource as Observation).where(code.coding.code contains '93038-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93038-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93038-8') .value.select($this as CodeableConcept).coding .where(code='LA6568-5' or code='LA13863-8' or code='LA13909-9' or code='LA13902-4' or code='LA13914-9' or code='LA30122-8').exists()
Screening-Crosswalk-93159-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 93159-2 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA10044-8 LA9933-8	entry.select(resource as Observation).where(code.coding.code contains '93159-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '93159-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '93159-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA10044-8' or code='LA9933-8').exists()
Screening-Crosswalk-95530-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95530-2 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '95530-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95530-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95530-2') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-95615-1	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95615-1 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95615-1').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95615-1').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95615-1') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95618-5	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95618-5 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95618-5').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95618-5').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95618-5') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95617-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95617-7 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95617-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95617-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95617-7') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-95616-9	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 95616-9 then answer codes must be one of the following: LA6270-8 LA10066-1 LA10082-8 LA16644-9 LA6482-9	entry.select(resource as Observation).where(code.coding.code contains '95616-9').exists() implies entry.select(resource as Observation).where(code.coding.code contains '95616-9').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '95616-9') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA10066-1' or code='LA10082-8' or code='LA16644-9' or code='LA6482-9').exists()
Screening-Crosswalk-96779-4	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96779-4 then answer codes must be one of the following: LA33-6 LA32-8 LA32002-0	entry.select(resource as Observation).where(code.coding.code contains '96779-4').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96779-4').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96779-4') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8' or code='LA32002-0').exists()
Screening-Crosswalk-96778-6	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96778-6 then answer codes must be one of the following: LA31996-4 LA28580-1 LA31997-2 LA31998-0 LA31999-8 LA32000-4 LA32001-2 LA9-3	entry.select(resource as Observation).where(code.coding.code contains '96778-6').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96778-6').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96778-6') .value.select($this as CodeableConcept).coding .where(code='LA31996-4' or code='LA28580-1' or code='LA31997-2' or code='LA31998-0' or code='LA31999-8' or code='LA32000-4' or code='LA32001-2' or code='LA9-3').exists()
Screening-Crosswalk-96781-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96781-0 then answer codes must be one of the following: LA31976-6 LA31977-4 LA31978-2 LA31979-0	entry.select(resource as Observation).where(code.coding.code contains '96781-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96781-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96781-0') .value.select($this as CodeableConcept).coding .where(code='LA31976-6' or code='LA31977-4' or code='LA31978-2' or code='LA31978-2').exists()
Screening-Crosswalk-96780-2	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96780-2 then answer codes must be one of the following: LA31981-6 LA31982-4 LA31983-2	entry.select(resource as Observation).where(code.coding.code contains '96780-2').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96780-2').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96780-2') .value.select($this as CodeableConcept).coding .where(code='LA31981-6' or code='LA31982-4' or code='LA31983-2').exists()
Screening-Crosswalk-96782-8	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96782-8 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '96782-8').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96782-8').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96782-8') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
Screening-Crosswalk-96842-0	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 96842-0 then answer codes must be one of the following: LA6270-8 LA26460-8 LA18876-5 LA18891-4 LA18934-2	entry.select(resource as Observation).where(code.coding.code contains '96842-0').exists() implies entry.select(resource as Observation).where(code.coding.code contains '96842-0').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '96842-0') .value.select($this as CodeableConcept).coding .where(code='LA6270-8' or code='LA26460-8' or code='LA18876-5' or code='LA18891-4' or code='LA18934-2').exists()
Screening-Crosswalk-97027-7	warning	Bundle	If the ObservationScreeningResponse LOINC question code is 97027-7 then answer codes must be one of the following: LA33-6 LA32-8	entry.select(resource as Observation).where(code.coding.code contains '97027-7').exists() implies entry.select(resource as Observation).where(code.coding.code contains '97027-7').dataAbsentReason.exists() or entry.select(resource as Observation).where(code.coding.code contains '97027-7') .value.select($this as CodeableConcept).coding .where(code='LA33-6' or code='LA32-8').exists()
ServiceRequest-AuthoredOn	warning	Bundle	Ensure that all Service Requests have a authored on date.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).all(authoredOn.exists())
ServiceRequest-CategoryCode	warning	Bundle	Ensure that all Service Requests have a category code.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).( all(category.exists()) and category.all(coding.exists()) and category.coding.all(code.exists()) )
ServiceRequest-OccurrencePeriod	warning	Bundle	Ensure that all Service Requests have an occurrence period start and end, or occurrence datetime.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest).count() = ( entry.select(resource as ServiceRequest).where(occurrence is Period).select(occurrence) .where(start and end).count() + entry.select(resource as ServiceRequest).where(occurrence is dateTime).count() )
ServiceRequest-Quantity	warning	Bundle	Ensure that all Service Requests have a quantity.	entry.select(resource as ServiceRequest).exists() implies entry.select(resource as ServiceRequest) .all(quantity.value.exists())
Task-EndPeriod	warning	Bundle	Ensure that all completed Tasks have an end execution period.	entry.select(resource as Task).where(status = 'completed').exists() implies entry.select(resource as Task).where(status = 'completed').all(executionPeriod.end.exists())
Task-Repetitions	warning	Bundle	Ensure that all Tasks have a value for repetitions.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(restriction.repetitions.exists())
Task-StartPeriod	warning	Bundle	Ensure that all Tasks have a starting execution period.	entry.select(resource as Task).exists() implies entry.select(resource as Task).all(executionPeriod.start.exists())
Task-StatusReason	error	Bundle	Ensure that all tasks exists, have a statusReason If the Task.status is rejected, cancelled, completed, or failed.	entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed').exists() implies entry.select(resource as Task).where(status = 'rejected' or status = 'cancelled' or status = 'completed' or status = 'failed') .all(statusReason.text.exists())
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()
shinny-sexual-orientation	warning	Bundle	If there is no component or hasMember element then either a value[x] or a data absent reason must be present	entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')).exists() implies entry.select(resource as Observation).where(meta.profile.contains('shin-ny-observation-sexual-orientation')) .where(value.exists() or dataAbsentReason.exists()) .count()=1

This structure is derived from Bundle

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)