CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.3.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Resource Profile: CH ELM Document: Laboratory Report

This CH ELM base profile constrains the Bundle resource for the purpose of laboratory test reports.

Usage:

• Derived from this Resource Profile: CH ELM Document: Laboratory Report (strict)
• Use this Resource Profile: DocumentReference for sending the report

Formal Views of Profile Content

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

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

This structure is derived from ChLabReportDocument

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	ChLabReportDocument	CH ELM Document: Laboratory Report ch-elm-leading-code: The ServiceRequest.code and the Observation.code are in general equal.
identifier		1..1	Identifier	Persistent, unique identifier for the diagnostic report (UUID)
system		1..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	C	1..1	string	The value that is unique ch-elm-doc-identifier: The identifier must be an UUID. Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
entry		8..*	BackboneElement	Entry in the bundle - will have a resource or information
entry:Composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmComposition	CH ELM Composition: Laboratory Report
entry:Patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmPatient	CH ELM Patient
entry:Practitioner		0..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmPractitionerOrderer	CH ELM Practitioner: Orderer
entry:PractitionerRole		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmPractitionerRoleOrderer	CH ELM PractitionerRole: Orderer
entry:Organization		1..3	BackboneElement	Entry in the bundle - will have a resource or information
entry:DiagnosticReport		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmDiagnosticReport	CH ELM DiagnosticReport: Laboratory Report
entry:Observation		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmObservationResultsLaboratory	CH ELM Observation Results: Laboratory
entry:Specimen		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmSpecimen	CH Lab Specimen: Laboratory
entry:ServiceRequest		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmServiceRequestLaboratoryOrder	CH ELM ServiceRequest: Laboratory Order
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-doc-identifier	error	Bundle.identifier.value	The identifier must be an UUID. : startsWith('urn:uuid:')
ch-elm-leading-code	warning	Bundle	The ServiceRequest.code and the Observation.code are in general equal. : entry.resource.ofType(ServiceRequest).code = entry.resource.ofType(Observation).code

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	ChLabReportDocument	CH ELM Document: Laboratory Report bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource ch-lab-bdl1: The resource should be conform to the corresponding EU LAB profile ch-elm-leading-code: The ServiceRequest.code and the Observation.code are in general equal.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Persistent, unique identifier for the diagnostic report (UUID)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique ch-elm-doc-identifier: The identifier must be an UUID. Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	8..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
entry:Composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmComposition	CH ELM Composition: Laboratory Report ch-lab-comp1: The resource should be conform to the corresponding EU LAB profile
entry:Patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmPatient	CH ELM Patient ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pat1: The resource should be conform to the corresponding EU LAB profile
entry:Practitioner	ΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmPractitionerOrderer	CH ELM Practitioner: Orderer ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pract1: The resource should be conform to the corresponding EU LAB profile
entry:PractitionerRole	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmPractitionerRoleOrderer	CH ELM PractitionerRole: Orderer ch-lab-pr1: The resource should be conform to the corresponding EU LAB profile
entry:Organization	ΣC	1..3	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	CHCoreOrganization	CH Core Organization org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	Device	Item used in healthcare
entry:Encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	CHCoreEncounter	CH Core Encounter
entry:Location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	CHCoreLocation	CH Core Location
entry:DiagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmDiagnosticReport	CH ELM DiagnosticReport: Laboratory Report ch-lab-dr1: The resource should be conform to the corresponding EU LAB profile
entry:Observation	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmObservationResultsLaboratory	CH ELM Observation Results: Laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ch-lab-obs1: The resource should be conform to the corresponding EU LAB profile
entry:Specimen	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmSpecimen	CH Lab Specimen: Laboratory ch-lab-spe1: The resource should be conform to the corresponding EU LAB profile
entry:ServiceRequest	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmServiceRequestLaboratoryOrder	CH ELM ServiceRequest: Laboratory Order prr-1: orderDetail SHALL only be present if code is present ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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)
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:DiagnosticReport.fullUrl, Bundle.entry:Observation.fullUrl, Bundle.entry:Specimen.fullUrl, Bundle.entry:ServiceRequest.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-elm-doc-identifier	error	Bundle.identifier.value	The identifier must be an UUID. : startsWith('urn:uuid:')
ch-elm-leading-code	warning	Bundle	The ServiceRequest.code and the Observation.code are in general equal. : entry.resource.ofType(ServiceRequest).code = entry.resource.ofType(Observation).code
ch-lab-bdl1	warning	Bundle	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab')
ch-lab-comp1	warning	Bundle.entry:Composition.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab')
ch-lab-dr1	warning	Bundle.entry:DiagnosticReport.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
ch-lab-obs1	warning	Bundle.entry:Observation.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab')
ch-lab-pat1	warning	Bundle.entry:Patient.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab')
ch-lab-pr1	warning	Bundle.entry:PractitionerRole.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab')
ch-lab-pract1	warning	Bundle.entry:Practitioner.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab')
ch-lab-spe1	warning	Bundle.entry:Specimen.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab')
ch-lab-sr1	warning	Bundle.entry:ServiceRequest.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
code-or-basedOn-required	error	Bundle.entry:ServiceRequest.resource	must have a code for what is beeing requested, or a basedOn element : code.exists() or basedOn.exists()
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	A resource should have narrative for robust management : text.`div`.exists()
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()
obs-6	error	Bundle.entry:Observation.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:Observation.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
prr-1	error	Bundle.entry:ServiceRequest.resource	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	ChLabReportDocument	CH ELM Document: Laboratory Report bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource ch-lab-bdl1: The resource should be conform to the corresponding EU LAB profile ch-elm-leading-code: The ServiceRequest.code and the Observation.code are in general equal.
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	Persistent, unique identifier for the diagnostic report (UUID)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique ch-elm-doc-identifier: The identifier must be an UUID. Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..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
Slices for entry	ΣC	8..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
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)
entry:Composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmComposition	CH ELM Composition: Laboratory Report ch-lab-comp1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmPatient	CH ELM Patient ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pat1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Practitioner	ΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmPractitionerOrderer	CH ELM Practitioner: Orderer ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pract1: The resource should be conform to the corresponding EU LAB profile
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)
entry:PractitionerRole	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmPractitionerRoleOrderer	CH ELM PractitionerRole: Orderer ch-lab-pr1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Organization	ΣC	1..3	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	CHCoreOrganization	CH Core Organization org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
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)
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
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)
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	Device	Item used in healthcare
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)
entry:Encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	CHCoreEncounter	CH Core Encounter
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)
entry:Location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	CHCoreLocation	CH Core Location
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)
entry:DiagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmDiagnosticReport	CH ELM DiagnosticReport: Laboratory Report ch-lab-dr1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Observation	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmObservationResultsLaboratory	CH ELM Observation Results: Laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ch-lab-obs1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Specimen	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmSpecimen	CH Lab Specimen: Laboratory ch-lab-spe1: The resource should be conform to the corresponding EU LAB profile
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)
entry:ServiceRequest	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmServiceRequestLaboratoryOrder	CH ELM ServiceRequest: Laboratory Order prr-1: orderDetail SHALL only be present if code is present ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
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	Conformance	ValueSet / Code	URI
Bundle.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Device.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Device.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Location.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Location.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:DiagnosticReport.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:DiagnosticReport.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Observation.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Observation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Specimen.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Specimen.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:ServiceRequest.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:ServiceRequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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)
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:DiagnosticReport.fullUrl, Bundle.entry:Observation.fullUrl, Bundle.entry:Specimen.fullUrl, Bundle.entry:ServiceRequest.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-elm-doc-identifier	error	Bundle.identifier.value	The identifier must be an UUID. : startsWith('urn:uuid:')
ch-elm-leading-code	warning	Bundle	The ServiceRequest.code and the Observation.code are in general equal. : entry.resource.ofType(ServiceRequest).code = entry.resource.ofType(Observation).code
ch-lab-bdl1	warning	Bundle	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab')
ch-lab-comp1	warning	Bundle.entry:Composition.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab')
ch-lab-dr1	warning	Bundle.entry:DiagnosticReport.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
ch-lab-obs1	warning	Bundle.entry:Observation.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab')
ch-lab-pat1	warning	Bundle.entry:Patient.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab')
ch-lab-pr1	warning	Bundle.entry:PractitionerRole.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab')
ch-lab-pract1	warning	Bundle.entry:Practitioner.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab')
ch-lab-spe1	warning	Bundle.entry:Specimen.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab')
ch-lab-sr1	warning	Bundle.entry:ServiceRequest.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
code-or-basedOn-required	error	Bundle.entry:ServiceRequest.resource	must have a code for what is beeing requested, or a basedOn element : code.exists() or basedOn.exists()
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	A resource should have narrative for robust management : text.`div`.exists()
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()
obs-6	error	Bundle.entry:Observation.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:Observation.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
prr-1	error	Bundle.entry:ServiceRequest.resource	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ChLabReportDocument

Summary

Mandatory: 10 elements

Structures

This structure refers to these other structures:

• CH ELM Composition: Laboratory Report (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-composition)
• CH ELM Patient (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient)
• CH ELM Practitioner: Orderer (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-practitioner-orderer)
• CH ELM PractitionerRole: Orderer (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-practitionerrole-orderer)
• CH ELM DiagnosticReport: Laboratory Report (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-diagnosticreport)
• CH ELM Observation Results: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory)
• CH ELM Specimen: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-specimen)
• CH ELM ServiceRequest: Laboratory Order (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-servicerequest-laboratory-order)

Differential View

This structure is derived from ChLabReportDocument

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	ChLabReportDocument	CH ELM Document: Laboratory Report ch-elm-leading-code: The ServiceRequest.code and the Observation.code are in general equal.
identifier		1..1	Identifier	Persistent, unique identifier for the diagnostic report (UUID)
system		1..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	C	1..1	string	The value that is unique ch-elm-doc-identifier: The identifier must be an UUID. Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
entry		8..*	BackboneElement	Entry in the bundle - will have a resource or information
entry:Composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmComposition	CH ELM Composition: Laboratory Report
entry:Patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmPatient	CH ELM Patient
entry:Practitioner		0..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmPractitionerOrderer	CH ELM Practitioner: Orderer
entry:PractitionerRole		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmPractitionerRoleOrderer	CH ELM PractitionerRole: Orderer
entry:Organization		1..3	BackboneElement	Entry in the bundle - will have a resource or information
entry:DiagnosticReport		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmDiagnosticReport	CH ELM DiagnosticReport: Laboratory Report
entry:Observation		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmObservationResultsLaboratory	CH ELM Observation Results: Laboratory
entry:Specimen		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmSpecimen	CH Lab Specimen: Laboratory
entry:ServiceRequest		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ChElmServiceRequestLaboratoryOrder	CH ELM ServiceRequest: Laboratory Order
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-doc-identifier	error	Bundle.identifier.value	The identifier must be an UUID. : startsWith('urn:uuid:')
ch-elm-leading-code	warning	Bundle	The ServiceRequest.code and the Observation.code are in general equal. : entry.resource.ofType(ServiceRequest).code = entry.resource.ofType(Observation).code

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	ChLabReportDocument	CH ELM Document: Laboratory Report bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource ch-lab-bdl1: The resource should be conform to the corresponding EU LAB profile ch-elm-leading-code: The ServiceRequest.code and the Observation.code are in general equal.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Persistent, unique identifier for the diagnostic report (UUID)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique ch-elm-doc-identifier: The identifier must be an UUID. Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	8..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
entry:Composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmComposition	CH ELM Composition: Laboratory Report ch-lab-comp1: The resource should be conform to the corresponding EU LAB profile
entry:Patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmPatient	CH ELM Patient ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pat1: The resource should be conform to the corresponding EU LAB profile
entry:Practitioner	ΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmPractitionerOrderer	CH ELM Practitioner: Orderer ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pract1: The resource should be conform to the corresponding EU LAB profile
entry:PractitionerRole	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	ChElmPractitionerRoleOrderer	CH ELM PractitionerRole: Orderer ch-lab-pr1: The resource should be conform to the corresponding EU LAB profile
entry:Organization	ΣC	1..3	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource	C	1..1	CHCoreOrganization	CH Core Organization org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	Device	Item used in healthcare
entry:Encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	CHCoreEncounter	CH Core Encounter
entry:Location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
resource		1..1	CHCoreLocation	CH Core Location
entry:DiagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmDiagnosticReport	CH ELM DiagnosticReport: Laboratory Report ch-lab-dr1: The resource should be conform to the corresponding EU LAB profile
entry:Observation	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmObservationResultsLaboratory	CH ELM Observation Results: Laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ch-lab-obs1: The resource should be conform to the corresponding EU LAB profile
entry:Specimen	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmSpecimen	CH Lab Specimen: Laboratory ch-lab-spe1: The resource should be conform to the corresponding EU LAB profile
entry:ServiceRequest	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmServiceRequestLaboratoryOrder	CH ELM ServiceRequest: Laboratory Order prr-1: orderDetail SHALL only be present if code is present ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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)
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:DiagnosticReport.fullUrl, Bundle.entry:Observation.fullUrl, Bundle.entry:Specimen.fullUrl, Bundle.entry:ServiceRequest.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-elm-doc-identifier	error	Bundle.identifier.value	The identifier must be an UUID. : startsWith('urn:uuid:')
ch-elm-leading-code	warning	Bundle	The ServiceRequest.code and the Observation.code are in general equal. : entry.resource.ofType(ServiceRequest).code = entry.resource.ofType(Observation).code
ch-lab-bdl1	warning	Bundle	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab')
ch-lab-comp1	warning	Bundle.entry:Composition.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab')
ch-lab-dr1	warning	Bundle.entry:DiagnosticReport.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
ch-lab-obs1	warning	Bundle.entry:Observation.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab')
ch-lab-pat1	warning	Bundle.entry:Patient.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab')
ch-lab-pr1	warning	Bundle.entry:PractitionerRole.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab')
ch-lab-pract1	warning	Bundle.entry:Practitioner.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab')
ch-lab-spe1	warning	Bundle.entry:Specimen.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab')
ch-lab-sr1	warning	Bundle.entry:ServiceRequest.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
code-or-basedOn-required	error	Bundle.entry:ServiceRequest.resource	must have a code for what is beeing requested, or a basedOn element : code.exists() or basedOn.exists()
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	A resource should have narrative for robust management : text.`div`.exists()
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()
obs-6	error	Bundle.entry:Observation.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:Observation.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
prr-1	error	Bundle.entry:ServiceRequest.resource	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	ChLabReportDocument	CH ELM Document: Laboratory Report bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource ch-lab-bdl1: The resource should be conform to the corresponding EU LAB profile ch-elm-leading-code: The ServiceRequest.code and the Observation.code are in general equal.
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	Persistent, unique identifier for the diagnostic report (UUID)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986
value	ΣC	1..1	string	The value that is unique ch-elm-doc-identifier: The identifier must be an UUID. Example General: 123456 Example CH ELM: urn:uuid:d494503a-7bef-4551-853c-f3dced2c518f
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
type	Σ	1..1	code	document Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: document
timestamp	Σ	1..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
Slices for entry	ΣC	8..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by profile:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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
link	Σ	0..*	See link (Bundle)	Links related to this entry
fullUrl	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
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)
entry:Composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmComposition	CH ELM Composition: Laboratory Report ch-lab-comp1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmPatient	CH ELM Patient ch-pat-1: At least one HumanName with given and family name must be provided. ch-pat-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pat1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Practitioner	ΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmPractitionerOrderer	CH ELM Practitioner: Orderer ch-pract-1: If a HumanName is provided, at least one HumanName must have a given and family name. ch-pract-2: gender unknown is currently not used in Switzerland in eCH and the EPR ch-lab-pract1: The resource should be conform to the corresponding EU LAB profile
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)
entry:PractitionerRole	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	ChElmPractitionerRoleOrderer	CH ELM PractitionerRole: Orderer ch-lab-pr1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Organization	ΣC	1..3	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	C	1..1	CHCoreOrganization	CH Core Organization org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
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)
entry:RelatedPerson	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
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)
entry:Device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	Device	Item used in healthcare
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)
entry:Encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	CHCoreEncounter	CH Core Encounter
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)
entry:Location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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		1..1	CHCoreLocation	CH Core Location
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)
entry:DiagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmDiagnosticReport	CH ELM DiagnosticReport: Laboratory Report ch-lab-dr1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Observation	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmObservationResultsLaboratory	CH ELM Observation Results: Laboratory obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ch-lab-obs1: The resource should be conform to the corresponding EU LAB profile
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)
entry:Specimen	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmSpecimen	CH Lab Specimen: Laboratory ch-lab-spe1: The resource should be conform to the corresponding EU LAB profile
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)
entry:ServiceRequest	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference 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	ΣC	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ch-core-doc-1: The fullUrl must be an absolute URL server address or an UUID
resource	C	1..1	ChElmServiceRequestLaboratoryOrder	CH ELM ServiceRequest: Laboratory Order prr-1: orderDetail SHALL only be present if code is present ch-lab-sr1: The resource should be conform to the corresponding EU LAB profile code-or-basedOn-required: must have a code for what is beeing requested, or a basedOn element
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	Conformance	ValueSet / Code	URI
Bundle.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Bundle.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Bundle.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Bundle.type	required	Fixed Value: document http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:PractitionerRole.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:RelatedPerson.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Device.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Device.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Encounter.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Location.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Location.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:DiagnosticReport.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:DiagnosticReport.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Observation.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Observation.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:Specimen.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:Specimen.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:ServiceRequest.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:ServiceRequest.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:Composition, Bundle.entry:Patient, Bundle.entry:Practitioner, Bundle.entry:PractitionerRole, Bundle.entry:Organization, Bundle.entry:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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:RelatedPerson, Bundle.entry:Device, Bundle.entry:Encounter, Bundle.entry:Location, Bundle.entry:DiagnosticReport, Bundle.entry:Observation, Bundle.entry:Specimen, Bundle.entry:ServiceRequest	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)
ch-core-doc-1	error	Bundle.entry.fullUrl, Bundle.entry:DiagnosticReport.fullUrl, Bundle.entry:Observation.fullUrl, Bundle.entry:Specimen.fullUrl, Bundle.entry:ServiceRequest.fullUrl	The fullUrl must be an absolute URL server address or an UUID : startsWith('http') or startsWith('urn:uuid:') = true
ch-elm-doc-identifier	error	Bundle.identifier.value	The identifier must be an UUID. : startsWith('urn:uuid:')
ch-elm-leading-code	warning	Bundle	The ServiceRequest.code and the Observation.code are in general equal. : entry.resource.ofType(ServiceRequest).code = entry.resource.ofType(Observation).code
ch-lab-bdl1	warning	Bundle	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab')
ch-lab-comp1	warning	Bundle.entry:Composition.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab')
ch-lab-dr1	warning	Bundle.entry:DiagnosticReport.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab')
ch-lab-obs1	warning	Bundle.entry:Observation.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab')
ch-lab-pat1	warning	Bundle.entry:Patient.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab')
ch-lab-pr1	warning	Bundle.entry:PractitionerRole.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/PractitionerRole-eu-lab')
ch-lab-pract1	warning	Bundle.entry:Practitioner.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Practitioner-eu-lab')
ch-lab-spe1	warning	Bundle.entry:Specimen.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab')
ch-lab-sr1	warning	Bundle.entry:ServiceRequest.resource	The resource should be conform to the corresponding EU LAB profile : conformsTo('http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab')
ch-pat-1	error	Bundle.entry:Patient.resource	At least one HumanName with given and family name must be provided. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pat-2	warning	Bundle.entry:Patient.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
ch-pract-1	error	Bundle.entry:Practitioner.resource	If a HumanName is provided, at least one HumanName must have a given and family name. : name.where(family.exists() and given.exists()).count()>0 or name.empty()
ch-pract-2	warning	Bundle.entry:Practitioner.resource	gender unknown is currently not used in Switzerland in eCH and the EPR : gender.empty() or gender!='unknown'
code-or-basedOn-required	error	Bundle.entry:ServiceRequest.resource	must have a code for what is beeing requested, or a basedOn element : code.exists() or basedOn.exists()
dom-2	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Bundle.entry:Composition.resource, Bundle.entry:Patient.resource, Bundle.entry:Practitioner.resource, Bundle.entry:PractitionerRole.resource, Bundle.entry:Organization.resource, Bundle.entry:RelatedPerson.resource, Bundle.entry:Device.resource, Bundle.entry:Encounter.resource, Bundle.entry:Location.resource, Bundle.entry:DiagnosticReport.resource, Bundle.entry:Observation.resource, Bundle.entry:Specimen.resource, Bundle.entry:ServiceRequest.resource	A resource should have narrative for robust management : text.`div`.exists()
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()
obs-6	error	Bundle.entry:Observation.resource	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Bundle.entry:Observation.resource	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
org-1	error	Bundle.entry:Organization.resource	The organization SHALL at least have a name or an identifier, and possibly more than one : (identifier.count() + name.count()) > 0
prr-1	error	Bundle.entry:ServiceRequest.resource	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from ChLabReportDocument

Summary

Mandatory: 10 elements

Structures

This structure refers to these other structures:

• CH ELM Composition: Laboratory Report (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-composition)
• CH ELM Patient (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient)
• CH ELM Practitioner: Orderer (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-practitioner-orderer)
• CH ELM PractitionerRole: Orderer (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-practitionerrole-orderer)
• CH ELM DiagnosticReport: Laboratory Report (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-diagnosticreport)
• CH ELM Observation Results: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-observation-results-laboratory)
• CH ELM Specimen: Laboratory (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-specimen)
• CH ELM ServiceRequest: Laboratory Order (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-servicerequest-laboratory-order)