Bundle: Laboratory Order (CZ) - HL7 Czech Laboratory Order IG v0.0.1

HL7 Czech Laboratory Order IG, 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-order/ and changes regularly. See the Directory of published versions

Resource Profile: Bundle: Laboratory Order (CZ)

Official URL: https://hl7.cz/fhir/lab-order/StructureDefinition/BundleLabOrderCz		Version: 0.0.1
Standards status: Draft	Maturity Level: 0	Computable Name: BundleLabOrderCz
Copyright/Legal: HL7 CZ

Clinical document used to represent a Laboratory Order for the scope of this guide.

Laboratory order bundle is an electronic health record extract containing order of laboratory examination for subject of care, comprising at least the required elements of the lab dataset.

Usages:

Examples for this Profile: Bundle/CZ-LabOrder-Bundle-Example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Order Bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, one-comp
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Business identifier for this Lab order
type	Σ	1..1	code	document \| message \| transaction \| transaction-response \| batch \| batch-response \| history \| searchset \| collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	3..*	BackboneElement	Entry resource in the Laboratory order bundle Slice: Unordered, Open by type:resource, profile:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_CompositionLabOrder	Laboratory Order Composition
entry:patient	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PatientCore, CZ_PatientAnimal	Czech Patient (base)
entry:serviceRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_ServiceRequest	A request for a service to be performed
entry:clinicalQuestion	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_ClinicalQuestion	Detailed information about conditions, problems or diagnoses
entry:appointment	ΣC	0..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_Specimen	Czech Specimen
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PractitionerCore	Czech Practitioner (core)
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PractitionerRoleCore	Czech Practitioner Role (core)
entry:coverage	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_Coverage	Czech coverage
entry:medication	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_MedicationStatement	Czech Medication Statement
entry:condition	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_ConditionLab	Detailed information about conditions, problems or diagnoses
entry:allergyIntolerance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_AllergyIntolerance	Czech Allergy Intolerance
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_ObservationLab	Measurements and simple assertions
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_OrganizationCore	Czech Organization (core)
entry:attachment	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_Attachment	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
signature	Σ	0..1	CZ_Signature	Report Digital Signature
type	SΣ	1..*	Coding	Digital Signature Purposes Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
when	SΣ	1..1	instant	When was signed
who	SΣ	1..1	Reference(Practitioner (CZ core) \| Practitioner Role (CZ core) \| Related Person (CZ core) \| Device: Performer/Observer (CZ) \| Medical Device (CZ) \| Organization (CZ core) \| Patient (CZ core))	Who signed.
data	S	0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Pattern Value: document `http://hl7.org/fhir/ValueSet/bundle-type\|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.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|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:serviceRequest.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:clinicalQuestion.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:appointment.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|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:practitioner.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|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:coverage.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:medication.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:condition.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:allergyIntolerance.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|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:organization.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.entry:attachment.request.method	required	HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb\|4.0.1` From the FHIR Standard
Bundle.signature.type	preferred	SignatureTypeCodes `http://hl7.org/fhir/ValueSet/signature-type` 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:serviceRequest, Bundle.entry:clinicalQuestion, Bundle.entry:appointment, Bundle.entry:specimen, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:coverage, Bundle.entry:medication, Bundle.entry:condition, Bundle.entry:allergyIntolerance, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:attachment	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:serviceRequest, Bundle.entry:clinicalQuestion, Bundle.entry:appointment, Bundle.entry:specimen, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:coverage, Bundle.entry:medication, Bundle.entry:condition, Bundle.entry:allergyIntolerance, Bundle.entry:observation, Bundle.entry:organization, Bundle.entry:attachment	fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not()
bdl-9	error	Bundle	A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10	error	Bundle	A document must have a date : type = 'document' implies (timestamp.hasValue())
bdl-11	error	Bundle	A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition)
bdl-12	error	Bundle	A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader)
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
one-comp	error	Bundle	A laboratory order bundle SHALL include one and only one Composition : entry.resource.ofType(Composition).count() = 1

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Order Bundle Constraints: one-comp
identifier		1..1	Identifier	Business identifier for this Lab order
type		1..1	code	document \| message \| transaction \| transaction-response \| batch \| batch-response \| history \| searchset \| collection Required Pattern: document
timestamp		1..1	instant	When the bundle was assembled
total		0..0
link		0..0
Slices for entry		3..*	BackboneElement	Entry resource in the Laboratory order bundle Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices				Content/Rules for all slices
link		0..0
fullUrl		1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Resource	A resource in the bundle
search		0..0
request		0..0
response		0..0
entry:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_CompositionLabOrder	Laboratory Order Composition
entry:patient		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_PatientCore, CZ_PatientAnimal	Czech Patient (base)
entry:serviceRequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_ServiceRequest	A request for a service to be performed
entry:clinicalQuestion		1..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_ClinicalQuestion	Detailed information about conditions, problems or diagnoses
entry:appointment		0..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_Specimen	Czech Specimen
entry:practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_PractitionerCore	Czech Practitioner (core)
entry:practitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_PractitionerRoleCore	Czech Practitioner Role (core)
entry:coverage		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_Coverage	Czech coverage
entry:medication		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_MedicationStatement	Czech Medication Statement
entry:condition		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_ConditionLab	Detailed information about conditions, problems or diagnoses
entry:allergyIntolerance		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_AllergyIntolerance	Czech Allergy Intolerance
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_ObservationLab	Measurements and simple assertions
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_OrganizationCore	Czech Organization (core)
entry:attachment		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CZ_Attachment	A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
signature		0..1	CZ_Signature	Report Digital Signature
type		1..*	Coding	Digital Signature Purposes
when		1..1	instant	When was signed
who		1..1	Reference(Practitioner (CZ core) \| Practitioner Role (CZ core) \| Related Person (CZ core) \| Device: Performer/Observer (CZ) \| Medical Device (CZ) \| Organization (CZ core) \| Patient (CZ core))	Who signed.
data		0..1	base64Binary	Signature content
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
one-comp	error	Bundle	A laboratory order bundle SHALL include one and only one Composition : entry.resource.ofType(Composition).count() = 1