HL7 Czech Lab Epidemiology Guide
0.0.1 - ci-build

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

## Resource Profile: MessageHeader – CZ Lab Report (message)

Official URL: https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-messageheader-lab-report | Version: 0.0.1
Active as of 2025-12-19 | Computable Name: CZ_MessageHeaderLabReport

Message header pro hlášení laboratorního výsledku (message paradigma)

Usages:

- Use this Profile: Bundle (message) – CZ Lab Report

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MessageHeader |  | 0..* | MessageHeader | A resource that describes a message that is exchanged between systems
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
event[x] | Σ | 1..1 | Coding | Code for the event this message represents or link to event definition Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://ncez.mzcr.cz/fhir/cs/events
code | Σ | 1..1 | code | Symbol in syntax defined by the system
destination | Σ | 1..1 | BackboneElement | Message destination application(s)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
endpoint | Σ | 1..1 | url | Actual destination address or id
source | Σ | 1..1 | BackboneElement | Message source application
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
endpoint | Σ | 1..1 | url | Actual message source address or id
focus | Σ | 1..1 | Reference(DiagnosticReport – CZ Lab Report (message payload)) | The actual content of the message
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MessageHeader.event[x] | Base | example | MessageEvent | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MessageHeader | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MessageHeader | 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 | MessageHeader | 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 | MessageHeader | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MessageHeader | 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()`

This structure is derived from MessageHeader

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MessageHeader |  |  | MessageHeader |
event[x] |  | 1..1 | Coding | Code for the event this message represents or link to event definition
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://ncez.mzcr.cz/fhir/cs/events
code |  | 1..1 | code | Symbol in syntax defined by the system
destination |  | 1..1 | BackboneElement | Message destination application(s)
focus |  | 1..1 | Reference(DiagnosticReport – CZ Lab Report (message payload)) | The actual content of the message
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MessageHeader |  | 0..* | MessageHeader | A resource that describes a message that is exchanged between systems
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
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
event[x] | Σ | 1..1 | Coding | Code for the event this message represents or link to event definition Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://ncez.mzcr.cz/fhir/cs/events
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
destination | Σ | 1..1 | BackboneElement | Message destination application(s)
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
name | Σ | 0..1 | string | Name of system
target | Σ | 0..1 | Reference(Device) | Particular delivery destination within the destination
endpoint | Σ | 1..1 | url | Actual destination address or id
receiver | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Intended "real-world" recipient for the data
sender | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Real world sender of the message
enterer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | The source of the data entry
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | The source of the decision
source | Σ | 1..1 | BackboneElement | Message source application
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
name | Σ | 0..1 | string | Name of system
software | Σ | 0..1 | string | Name of software running the system
version | Σ | 0..1 | string | Version of software running
contact | Σ | 0..1 | ContactPoint | Human contact for problems
endpoint | Σ | 1..1 | url | Actual message source address or id
responsible | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Final responsibility for event
reason | Σ | 0..1 | CodeableConcept | Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
response | Σ | 0..1 | BackboneElement | If this is a reply to prior message
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
identifier | Σ | 1..1 | id | Id of original message
code | Σ | 1..1 | code | ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details | Σ | 0..1 | Reference(OperationOutcome) | Specific list of hints/warnings/errors
focus | Σ | 1..1 | Reference(DiagnosticReport – CZ Lab Report (message payload)) | The actual content of the message
definition | Σ | 0..1 | canonical(MessageDefinition) | Link to the definition for this message
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MessageHeader.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MessageHeader.event[x] | Base | example | MessageEvent | 📍4.0.1 | FHIR Std.
MessageHeader.reason | Base | example | Example Message Reason Codes | 📍4.0.1 | FHIR Std.
MessageHeader.response.​code | Base | required | ResponseType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MessageHeader | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MessageHeader | 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 | MessageHeader | 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 | MessageHeader | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MessageHeader | 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()`

This structure is derived from MessageHeader

Summary

Mandatory: 4 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- DiagnosticReport – CZ Lab Report (message payload) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-labreport-dr)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MessageHeader |  | 0..* | MessageHeader | A resource that describes a message that is exchanged between systems
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
event[x] | Σ | 1..1 | Coding | Code for the event this message represents or link to event definition Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://ncez.mzcr.cz/fhir/cs/events
code | Σ | 1..1 | code | Symbol in syntax defined by the system
destination | Σ | 1..1 | BackboneElement | Message destination application(s)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
endpoint | Σ | 1..1 | url | Actual destination address or id
source | Σ | 1..1 | BackboneElement | Message source application
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
endpoint | Σ | 1..1 | url | Actual message source address or id
focus | Σ | 1..1 | Reference(DiagnosticReport – CZ Lab Report (message payload)) | The actual content of the message
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MessageHeader.event[x] | Base | example | MessageEvent | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MessageHeader | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MessageHeader | 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 | MessageHeader | 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 | MessageHeader | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MessageHeader | 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()`

Differential View

This structure is derived from MessageHeader

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MessageHeader |  |  | MessageHeader |
event[x] |  | 1..1 | Coding | Code for the event this message represents or link to event definition
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://ncez.mzcr.cz/fhir/cs/events
code |  | 1..1 | code | Symbol in syntax defined by the system
destination |  | 1..1 | BackboneElement | Message destination application(s)
focus |  | 1..1 | Reference(DiagnosticReport – CZ Lab Report (message payload)) | The actual content of the message
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MessageHeader |  | 0..* | MessageHeader | A resource that describes a message that is exchanged between systems
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
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
event[x] | Σ | 1..1 | Coding | Code for the event this message represents or link to event definition Binding: MessageEvent (example): One of the message events defined as part of this version of FHIR.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: https://ncez.mzcr.cz/fhir/cs/events
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
destination | Σ | 1..1 | BackboneElement | Message destination application(s)
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
name | Σ | 0..1 | string | Name of system
target | Σ | 0..1 | Reference(Device) | Particular delivery destination within the destination
endpoint | Σ | 1..1 | url | Actual destination address or id
receiver | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Intended "real-world" recipient for the data
sender | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Real world sender of the message
enterer | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | The source of the data entry
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | The source of the decision
source | Σ | 1..1 | BackboneElement | Message source application
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
name | Σ | 0..1 | string | Name of system
software | Σ | 0..1 | string | Name of software running the system
version | Σ | 0..1 | string | Version of software running
contact | Σ | 0..1 | ContactPoint | Human contact for problems
endpoint | Σ | 1..1 | url | Actual message source address or id
responsible | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Final responsibility for event
reason | Σ | 0..1 | CodeableConcept | Cause of event Binding: ExampleMessageReasonCodes (example): Reason for event occurrence.
response | Σ | 0..1 | BackboneElement | If this is a reply to prior message
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
identifier | Σ | 1..1 | id | Id of original message
code | Σ | 1..1 | code | ok | transient-error | fatal-error Binding: ResponseType (required): The kind of response to a message.
details | Σ | 0..1 | Reference(OperationOutcome) | Specific list of hints/warnings/errors
focus | Σ | 1..1 | Reference(DiagnosticReport – CZ Lab Report (message payload)) | The actual content of the message
definition | Σ | 0..1 | canonical(MessageDefinition) | Link to the definition for this message
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MessageHeader.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MessageHeader.event[x] | Base | example | MessageEvent | 📍4.0.1 | FHIR Std.
MessageHeader.reason | Base | example | Example Message Reason Codes | 📍4.0.1 | FHIR Std.
MessageHeader.response.​code | Base | required | ResponseType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MessageHeader | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MessageHeader | 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 | MessageHeader | 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 | MessageHeader | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MessageHeader | 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()`

This structure is derived from MessageHeader

Summary

Mandatory: 4 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

- DiagnosticReport – CZ Lab Report (message payload) (https://hl7.cz/fhir/lab-epi/StructureDefinition/cz-labreport-dr)

Other representations of profile: CSV, Excel, Schematron