HL7 Czech Electronic medical report Implementation Guide
0.0.1 - ci-build

HL7 Czech Electronic medical report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/elp/ and changes regularly. See the Directory of published versions

## Resource Profile: Bundle (ELP CZ)

Official URL: https://hl7.cz/fhir/elp/StructureDefinition/cz-bundle-elp | Version: 0.0.1
Draft as of 2025-12-22 | Computable Name: CZ_BundleElp

Clinical document used to represent a Electronic Medical Report for the scope of this guide.

Usages:

- Examples for this Profile: Bundle/cz-example-bundle-electronicmedicalreport

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Electronic Medical Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-elp-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | Σ | 1..1 | Identifier | Instance identifier
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. Fixed Value: document
timestamp | Σ | 1..1 | instant | Instance identifier
Slices for entry | Σ C | 7..* | BackboneElement | Entry resource in the Electronic Medical Report bundle Slice: Unordered, Open by type:resource, profile:resource 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
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Resource | A resource in the bundle
entry:composition | Σ C | 1..1 | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_CompositionElp | Electronic Medical Report composition
entry:patient | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PatientCore | Czech Patient (base)
entry:practitioner | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerCore | Czech Practitioner (core)
entry:practitionerRole | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerRoleCore | Czech Practitioner Role (core)
entry:organization | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_OrganizationCore | Czech Organization (core)
entry:documentReference | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_Logo | Logo
entry:diagnosticReport | Σ C | 1..1 | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_DiagnosticReportElp | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:observation | Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_ObservationExaminationElp, CZ_ObservationResultElp | Measurements and simple assertions
entry:appointment | Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_AppointmentElp | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
signature | Σ | 0..1 | Signature | Report Digital Signature
type | Σ | 1..* | Coding | Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | Σ | 1..1 | instant | When was signed
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who signed.
data |  | 0..1 | base64Binary | Signature content
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:appointment.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.signature.type | Base | preferred | Signature Type Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | 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)`
bdl-elp-1 | error | Bundle | An document must have no additional Composition (including Composition subclass) resources besides the first. | `entry.tail().where(resource is Composition).empty()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Electronic Medical Report bundle Constraints: bdl-elp-1
identifier |  | 1..1 | Identifier | Instance identifier
type |  | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp |  | 1..1 | instant | Instance identifier
link |  | 0..0 |  | Links related to this Bundle
Slices for entry |  | 7..* | BackboneElement | Entry resource in the Electronic Medical Report bundle Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices |  |  |  | Content/Rules for all slices
link |  | 0..0 |  | Links related to this entry
fullUrl |  | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | Resource | A resource in the bundle
search |  | 0..0 |  | Search related information
request |  | 0..0 |  | Additional execution information (transaction/batch/history)
response |  | 0..0 |  | Results of execution (transaction/batch/history)
entry:composition |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_CompositionElp | Electronic Medical Report composition
entry:patient |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_PatientCore | Czech Patient (base)
entry:practitioner |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_PractitionerCore | Czech Practitioner (core)
entry:practitionerRole |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_PractitionerRoleCore | Czech Practitioner Role (core)
entry:organization |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_OrganizationCore | Czech Organization (core)
entry:documentReference |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_Logo | Logo
entry:diagnosticReport |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_DiagnosticReportElp | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:observation |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_ObservationExaminationElp, CZ_ObservationResultElp | Measurements and simple assertions
entry:appointment |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_AppointmentElp | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
signature |  | 0..1 | Signature | Report Digital Signature
type |  | 1..* | Coding | Digital Signature Purposes
when |  | 1..1 | instant | When was signed
who |  | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who signed.
data |  | 0..1 | base64Binary | Signature content
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-elp-1 | error | Bundle | An document must have no additional Composition (including Composition subclass) resources besides the first. | `entry.tail().where(resource is Composition).empty()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Electronic Medical Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-elp-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | Σ | 1..1 | Identifier | Instance identifier
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. Fixed Value: document
timestamp | Σ | 1..1 | instant | Instance identifier
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
Slices for entry | Σ C | 7..* | BackboneElement | Entry resource in the Electronic Medical Report bundle Slice: Unordered, Open by type:resource, profile:resource 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
entry:All Slices |  |  |  | Content/Rules for all slices
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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Resource | A resource in the bundle
entry:composition | Σ C | 1..1 | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_CompositionElp | Electronic Medical Report composition
entry:patient | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PatientCore | Czech Patient (base)
entry:practitioner | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerCore | Czech Practitioner (core)
entry:practitionerRole | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerRoleCore | Czech Practitioner Role (core)
entry:organization | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_OrganizationCore | Czech Organization (core)
entry:documentReference | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_Logo | Logo
entry:diagnosticReport | Σ C | 1..1 | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_DiagnosticReportElp | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:observation | Σ C | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_ObservationExaminationElp, CZ_ObservationResultElp | Measurements and simple assertions
entry:appointment | Σ C | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_AppointmentElp | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
signature | Σ | 0..1 | Signature | Report Digital Signature
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 1..* | Coding | Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | Σ | 1..1 | instant | When was signed
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who signed.
onBehalfOf | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | The party represented
targetFormat |  | 0..1 | code | The technical format of the signed resources Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
sigFormat |  | 0..1 | code | The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data |  | 0..1 | base64Binary | Signature content
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
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.
Bundle.entry:composition.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:diagnosticReport.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:appointment.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:appointment.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.signature.type | Base | preferred | Signature Type Codes | 📍4.0.1 | FHIR Std.
Bundle.signature.targetFormat | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Bundle.signature.sigFormat | Base | required | MimeType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | 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)`
bdl-elp-1 | error | Bundle | An document must have no additional Composition (including Composition subclass) resources besides the first. | `entry.tail().where(resource is Composition).empty()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Bundle

Summary

Mandatory: 10 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 5 elements

Structures

This structure refers to these other structures:

- Composition (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-composition-elp)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- DocumentReference containing logo (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-logo)
- Diagnostic Report (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-diagnostic-report-elp)
- Observation of medical examination (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-observation-examination-elp)
- Observation of medical report (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-observation-result-elp)
- Appointment (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-appointment-elp)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Bundle.entry

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Electronic Medical Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-elp-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | Σ | 1..1 | Identifier | Instance identifier
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. Fixed Value: document
timestamp | Σ | 1..1 | instant | Instance identifier
Slices for entry | Σ C | 7..* | BackboneElement | Entry resource in the Electronic Medical Report bundle Slice: Unordered, Open by type:resource, profile:resource 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
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Resource | A resource in the bundle
entry:composition | Σ C | 1..1 | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_CompositionElp | Electronic Medical Report composition
entry:patient | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PatientCore | Czech Patient (base)
entry:practitioner | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerCore | Czech Practitioner (core)
entry:practitionerRole | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerRoleCore | Czech Practitioner Role (core)
entry:organization | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_OrganizationCore | Czech Organization (core)
entry:documentReference | Σ C | 1..* | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_Logo | Logo
entry:diagnosticReport | Σ C | 1..1 | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_DiagnosticReportElp | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:observation | Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_ObservationExaminationElp, CZ_ObservationResultElp | Measurements and simple assertions
entry:appointment | Σ C | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_AppointmentElp | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
signature | Σ | 0..1 | Signature | Report Digital Signature
type | Σ | 1..* | Coding | Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | Σ | 1..1 | instant | When was signed
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who signed.
data |  | 0..1 | base64Binary | Signature content
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:appointment.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.signature.type | Base | preferred | Signature Type Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | 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)`
bdl-elp-1 | error | Bundle | An document must have no additional Composition (including Composition subclass) resources besides the first. | `entry.tail().where(resource is Composition).empty()`
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()`

Differential View

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Electronic Medical Report bundle Constraints: bdl-elp-1
identifier |  | 1..1 | Identifier | Instance identifier
type |  | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp |  | 1..1 | instant | Instance identifier
link |  | 0..0 |  | Links related to this Bundle
Slices for entry |  | 7..* | BackboneElement | Entry resource in the Electronic Medical Report bundle Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices |  |  |  | Content/Rules for all slices
link |  | 0..0 |  | Links related to this entry
fullUrl |  | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | Resource | A resource in the bundle
search |  | 0..0 |  | Search related information
request |  | 0..0 |  | Additional execution information (transaction/batch/history)
response |  | 0..0 |  | Results of execution (transaction/batch/history)
entry:composition |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_CompositionElp | Electronic Medical Report composition
entry:patient |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_PatientCore | Czech Patient (base)
entry:practitioner |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_PractitionerCore | Czech Practitioner (core)
entry:practitionerRole |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_PractitionerRoleCore | Czech Practitioner Role (core)
entry:organization |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_OrganizationCore | Czech Organization (core)
entry:documentReference |  | 1..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_Logo | Logo
entry:diagnosticReport |  | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_DiagnosticReportElp | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:observation |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_ObservationExaminationElp, CZ_ObservationResultElp | Measurements and simple assertions
entry:appointment |  | 0..* | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | CZ_AppointmentElp | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
signature |  | 0..1 | Signature | Report Digital Signature
type |  | 1..* | Coding | Digital Signature Purposes
when |  | 1..1 | instant | When was signed
who |  | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who signed.
data |  | 0..1 | base64Binary | Signature content
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-elp-1 | error | Bundle | An document must have no additional Composition (including Composition subclass) resources besides the first. | `entry.tail().where(resource is Composition).empty()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Electronic Medical Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-elp-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | Σ | 1..1 | Identifier | Instance identifier
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. Fixed Value: document
timestamp | Σ | 1..1 | instant | Instance identifier
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
Slices for entry | Σ C | 7..* | BackboneElement | Entry resource in the Electronic Medical Report bundle Slice: Unordered, Open by type:resource, profile:resource 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
entry:All Slices |  |  |  | Content/Rules for all slices
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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | Σ | 1..1 | Resource | A resource in the bundle
entry:composition | Σ C | 1..1 | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_CompositionElp | Electronic Medical Report composition
entry:patient | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PatientCore | Czech Patient (base)
entry:practitioner | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerCore | Czech Practitioner (core)
entry:practitionerRole | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_PractitionerRoleCore | Czech Practitioner Role (core)
entry:organization | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_OrganizationCore | Czech Organization (core)
entry:documentReference | Σ C | 1..* | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_Logo | Logo
entry:diagnosticReport | Σ C | 1..1 | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_DiagnosticReportElp | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:observation | Σ C | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_ObservationExaminationElp, CZ_ObservationResultElp | Measurements and simple assertions
entry:appointment | Σ C | 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
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | CZ_AppointmentElp | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
signature | Σ | 0..1 | Signature | Report Digital Signature
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 1..* | Coding | Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when | Σ | 1..1 | instant | When was signed
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who signed.
onBehalfOf | Σ | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | The party represented
targetFormat |  | 0..1 | code | The technical format of the signed resources Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
sigFormat |  | 0..1 | code | The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data |  | 0..1 | base64Binary | Signature content
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
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.
Bundle.entry:composition.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitionerRole.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:documentReference.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:diagnosticReport.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:diagnosticReport.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:observation.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:observation.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:appointment.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:appointment.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.signature.type | Base | preferred | Signature Type Codes | 📍4.0.1 | FHIR Std.
Bundle.signature.targetFormat | Base | required | MimeType | 📍4.0.1 | FHIR Std.
Bundle.signature.sigFormat | Base | required | MimeType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:organization, Bundle.entry:documentReference, Bundle.entry:diagnosticReport, Bundle.entry:observation, Bundle.entry:appointment | 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)`
bdl-elp-1 | error | Bundle | An document must have no additional Composition (including Composition subclass) resources besides the first. | `entry.tail().where(resource is Composition).empty()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Bundle

Summary

Mandatory: 10 elements(1 nested mandatory element)
Fixed: 1 element
Prohibited: 5 elements

Structures

This structure refers to these other structures:

- Composition (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-composition-elp)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- DocumentReference containing logo (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-logo)
- Diagnostic Report (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-diagnostic-report-elp)
- Observation of medical examination (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-observation-examination-elp)
- Observation of medical report (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-observation-result-elp)
- Appointment (ELP CZ) (https://hl7.cz/fhir/elp/StructureDefinition/cz-appointment-elp)

Slices

This structure defines the following Slices:

- The element 2 is sliced based on the values of Bundle.entry

Other representations of profile: CSV, Excel, Schematron