# Bundle (EPS) - HL7 Europe Patient Summary v1.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Bundle (EPS)**

## Resource Profile: Bundle (EPS) 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps | *Version*:1.0.0-ballot | |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:BundleEuEps |
| **Copyright/Legal**: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | | |

 
This profile defines how the Bundle resource is used to represent a European Patient Summary. 

**Usages:**

* Examples for this Profile: [Bundle/EPSExampleBundle01NoProblemsMedicationAllergies](Bundle-EPSExampleBundle01NoProblemsMedicationAllergies.md) and [Bundle/Instance-Bundle-1a24e60d-9b12-4109-a50a-07249a4f21c3](Bundle-Instance-Bundle-1a24e60d-9b12-4109-a50a-07249a4f21c3.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.eu.eps|current/StructureDefinition/StructureDefinition-bundle-eu-eps.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-bundle-eu-eps.csv), [Excel](StructureDefinition-bundle-eu-eps.xlsx), [Schematron](StructureDefinition-bundle-eu-eps.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "bundle-eu-eps",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile",
    "valueCanonical" : "http://hl7.org/fhir/uv/ips/StructureDefinition/Bundle-uv-ips"
  }],
  "url" : "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps",
  "version" : "1.0.0-ballot",
  "name" : "BundleEuEps",
  "title" : "Bundle (EPS)",
  "status" : "draft",
  "date" : "2026-06-06T09:06:30+02:00",
  "publisher" : "HL7 Europe",
  "contact" : [{
    "name" : "HL7 Europe",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.eu"
    }]
  }],
  "description" : "This profile defines how the Bundle resource is used to represent a European Patient Summary.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "copyright" : "Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Bundle",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Bundle",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Bundle",
      "path" : "Bundle",
      "short" : "Patient Summary bundle",
      "definition" : "Patient Summary bundle.",
      "constraint" : [{
        "key" : "eps-bundle-patient-ref",
        "severity" : "error",
        "human" : "If the Bundle contains patient-based resources (AllergyIntolerance, Immunization, ImmunizationRecommendation), each SHALL have patient.reference populated.",
        "expression" : "entry.where(\r\n  resource.is(AllergyIntolerance) or\r\n  resource.is(Immunization) or\r\n  resource.is(Consent) or\r\n  resource.is(ImmunizationRecommendation)\r\n).empty() or\r\nentry.where(\r\n  resource.is(AllergyIntolerance) or\r\n  resource.is(Immunization) or\r\n  resource.is(Consent) or\r\n  resource.is(ImmunizationRecommendation)\r\n).all(resource.patient.reference.exists())",
        "source" : "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
      },
      {
        "key" : "eps-bundle-subject-ref",
        "severity" : "error",
        "human" : "If the Bundle contains subject-based clinical resources, each SHALL have subject.reference populated.",
        "expression" : "entry.where(\r\n  resource.is(Composition) or\r\n  resource.is(CarePlan) or\r\n  resource.is(ClinicalImpression) or\r\n  resource.is(Condition) or\r\n  resource.is(DeviceUseStatement) or\r\n  resource.is(DiagnosticReport) or\r\n  resource.is(DocumentReference) or\r\n  resource.is(Flag) or\r\n  resource.is(ImagingStudy) or\r\n  resource.is(MedicationRequest) or\r\n  resource.is(MedicationStatement) or\r\n  resource.is(Procedure) or\r\n  resource.is(Observation)\r\n).empty() or\r\nentry.where(\r\n  resource.is(Composition) or\r\n  resource.is(CarePlan) or\r\n  resource.is(ClinicalImpression) or\r\n  resource.is(Condition) or\r\n  resource.is(DeviceUseStatement) or\r\n  resource.is(DiagnosticReport) or\r\n  resource.is(DocumentReference) or\r\n  resource.is(Flag) or\r\n  resource.is(ImagingStudy) or\r\n  resource.is(MedicationRequest) or\r\n  resource.is(MedicationStatement) or\r\n  resource.is(Procedure) or\r\n  resource.is(Observation)\r\n).all(resource.subject.reference.exists())",
        "source" : "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
      },
      {
        "key" : "eps-bundle-resource-code",
        "severity" : "error",
        "human" : "For the IPS some resources require a code element. If the Bundle contains such resources (e.g. Medication), they SHALL have code populated.",
        "expression" : "entry.where(\r\n  resource.is(Medication)\r\n).empty() or\r\nentry.where(\r\n  resource.is(Medication) \r\n).all(resource.code.exists())",
        "source" : "http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps"
      }]
    },
    {
      "id" : "Bundle.identifier",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Bundle.identifier"
    },
    {
      "id" : "Bundle.timestamp",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Bundle.timestamp"
    },
    {
      "id" : "Bundle.entry",
      "path" : "Bundle.entry",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "resource"
        },
        {
          "type" : "profile",
          "path" : "resource"
        }],
        "rules" : "open"
      },
      "short" : "Entry resource in the patient summary bundle",
      "definition" : "An entry resource included in the patient summary document bundle resource.",
      "comment" : "Must contain the IPS Composition as the first entry (only a single Composition resource instance may be included) and a Patient resource.  Additional constraints are specified in the IPS Composition profile.",
      "min" : 2
    },
    {
      "id" : "Bundle.entry.fullUrl",
      "path" : "Bundle.entry.fullUrl",
      "min" : 1
    },
    {
      "id" : "Bundle.entry.resource",
      "path" : "Bundle.entry.resource",
      "min" : 1
    },
    {
      "id" : "Bundle.entry.search",
      "path" : "Bundle.entry.search",
      "max" : "0"
    },
    {
      "id" : "Bundle.entry.request",
      "path" : "Bundle.entry.request",
      "max" : "0"
    },
    {
      "id" : "Bundle.entry.response",
      "path" : "Bundle.entry.response",
      "max" : "0"
    },
    {
      "id" : "Bundle.entry:composition",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Creator"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHOULD:display"
        },
        {
          "url" : "actor",
          "valueCanonical" : "http://hl7.org/fhir/uv/ips/ActorDefinition/Consumer"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Bundle.entry",
      "sliceName" : "composition",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Bundle.entry:composition.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Composition",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:patient",
      "path" : "Bundle.entry",
      "sliceName" : "patient",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Bundle.entry:patient.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Patient",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:allergyintolerance",
      "path" : "Bundle.entry",
      "sliceName" : "allergyintolerance",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:allergyintolerance.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "AllergyIntolerance",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/allergyintolerance-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:careplan",
      "path" : "Bundle.entry",
      "sliceName" : "careplan",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:careplan.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "CarePlan"
      }]
    },
    {
      "id" : "Bundle.entry:condition",
      "path" : "Bundle.entry",
      "sliceName" : "condition",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:condition.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Condition",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:device",
      "path" : "Bundle.entry",
      "sliceName" : "device",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:device.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Device",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:deviceusestatement",
      "path" : "Bundle.entry",
      "sliceName" : "deviceusestatement",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:deviceusestatement.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "DeviceUseStatement",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:diagnosticreport",
      "path" : "Bundle.entry",
      "sliceName" : "diagnosticreport",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:diagnosticreport.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "DiagnosticReport",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/diagnosticReport-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:flag",
      "path" : "Bundle.entry",
      "sliceName" : "flag",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:flag.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Flag",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/flag-alert-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:imagingstudy",
      "path" : "Bundle.entry",
      "sliceName" : "imagingstudy",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:imagingstudy.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "ImagingStudy",
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/ImagingStudy-uv-ips"]
      }]
    },
    {
      "id" : "Bundle.entry:immunization",
      "path" : "Bundle.entry",
      "sliceName" : "immunization",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:immunization.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Immunization",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/immunization-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:medication",
      "path" : "Bundle.entry",
      "sliceName" : "medication",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:medication.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Medication",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/medication-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:medicationrequest",
      "path" : "Bundle.entry",
      "sliceName" : "medicationrequest",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:medicationrequest.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "MedicationRequest",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/medicationrequest-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:medicationstatement",
      "path" : "Bundle.entry",
      "sliceName" : "medicationstatement",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:medicationstatement.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "MedicationStatement",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:practitioner",
      "path" : "Bundle.entry",
      "sliceName" : "practitioner",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:practitioner.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Practitioner",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/practitioner-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:practitionerrole",
      "path" : "Bundle.entry",
      "sliceName" : "practitionerrole",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:practitionerrole.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "PractitionerRole",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/practitionerrole-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:procedure",
      "path" : "Bundle.entry",
      "sliceName" : "procedure",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:procedure.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Procedure",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-edd",
      "path" : "Bundle.entry",
      "sliceName" : "observation-pregnancy-edd",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-edd.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-edd-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-outcome",
      "path" : "Bundle.entry",
      "sliceName" : "observation-pregnancy-outcome",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-outcome.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-outcome-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-status",
      "path" : "Bundle.entry",
      "sliceName" : "observation-pregnancy-status",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-status.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-status-eu-ips"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-alcohol-use",
      "path" : "Bundle.entry",
      "sliceName" : "observation-alcohol-use",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-alcohol-use.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-alcoholuse-uv-ips"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-tobacco-use",
      "path" : "Bundle.entry",
      "sliceName" : "observation-tobacco-use",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-tobacco-use.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-tobaccouse-uv-ips"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-vital-signs",
      "path" : "Bundle.entry",
      "sliceName" : "observation-vital-signs",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-vital-signs.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/vitalsigns"]
      }]
    },
    {
      "id" : "Bundle.entry:organization",
      "path" : "Bundle.entry",
      "sliceName" : "organization",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:organization.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Organization",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/organization-obl-eu-eps"]
      }]
    },
    {
      "id" : "Bundle.entry:specimen",
      "path" : "Bundle.entry",
      "sliceName" : "specimen",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:specimen.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Specimen",
        "profile" : ["http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips"]
      }]
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-age",
      "path" : "Bundle.entry",
      "sliceName" : "observation-pregnancy-age",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Bundle.entry:observation-pregnancy-age.resource",
      "path" : "Bundle.entry.resource",
      "type" : [{
        "code" : "Observation",
        "profile" : ["http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-gestationalAge-eu-eps"]
      }]
    }]
  }
}

```
