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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Bundle: Laboratory Order (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, same-servicerequest-performer, same-servicerequest-occurrence, coverage-author
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	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:clinicalQuestion.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:appointment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:attachment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry: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)
coverage-author	error	Bundle	If coverage is an insurance company than the author must have filled organization.identifier and specialty.	entry.resource.ofType(Coverage).payor.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/kp') implies (entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).specialty.exists() and entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).organization.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/icp'))
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 imaging order bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
same-servicerequest-occurrence	warning	Bundle	Service requests SHALL have the same occurrence (dateTime or period).	entry.resource.ofType(ServiceRequest).contained.all($this.occurrence = entry.resource.ofType(ServiceRequest).occurrence)
same-servicerequest-performer	warning	Bundle	Service requests SHALL have the same performer.	entry.resource.ofType(ServiceRequest).contained.all($this.performer = entry.resource.ofType(ServiceRequest).performer)

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, same-servicerequest-performer, same-servicerequest-occurrence, coverage-author
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)	Description	Expression
coverage-author	error	Bundle	If coverage is an insurance company than the author must have filled organization.identifier and specialty.	entry.resource.ofType(Coverage).payor.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/kp') implies (entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).specialty.exists() and entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).organization.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/icp'))
one-comp	error	Bundle	A imaging order bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
same-servicerequest-occurrence	warning	Bundle	Service requests SHALL have the same occurrence (dateTime or period).	entry.resource.ofType(ServiceRequest).contained.all($this.occurrence = entry.resource.ofType(ServiceRequest).occurrence)
same-servicerequest-performer	warning	Bundle	Service requests SHALL have the same performer.	entry.resource.ofType(ServiceRequest).contained.all($this.performer = entry.resource.ofType(ServiceRequest).performer)

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, same-servicerequest-performer, same-servicerequest-occurrence, coverage-author
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	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PatientCore, 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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PractitionerCore	Czech Practitioner (core)
entry:practitionerRole	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PractitionerRoleCore	Czech Practitioner Role (core)
entry: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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_OrganizationCore	Czech Organization (core)
entry: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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	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.
onBehalfOf	Σ	0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core))	The party represented
targetFormat		0..1	code	The technical format of the signed resources Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
sigFormat		0..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data	S	0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:clinicalQuestion.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:clinicalQuestion.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:appointment.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:appointment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:attachment.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:attachment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.
Bundle.signature.targetFormat	Base	required	MimeType	📍4.0.1	FHIR Std.
Bundle.signature.sigFormat	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry: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)
coverage-author	error	Bundle	If coverage is an insurance company than the author must have filled organization.identifier and specialty.	entry.resource.ofType(Coverage).payor.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/kp') implies (entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).specialty.exists() and entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).organization.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/icp'))
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 imaging order bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
same-servicerequest-occurrence	warning	Bundle	Service requests SHALL have the same occurrence (dateTime or period).	entry.resource.ofType(ServiceRequest).contained.all($this.occurrence = entry.resource.ofType(ServiceRequest).occurrence)
same-servicerequest-performer	warning	Bundle	Service requests SHALL have the same performer.	entry.resource.ofType(ServiceRequest).contained.all($this.performer = entry.resource.ofType(ServiceRequest).performer)

This structure is derived from Bundle

Summary

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• Composition: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-CompositionLabOrder)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
• ServiceRequest: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-serviceRequest)
• Clinical question: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-clinicalQuestion)
• Appointment (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-appointment)
• Specimen (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Coverage (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage)
• Medication Statement (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement)
• Condition: Lab Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-conditionLab)
• Allergy Intolerance (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-allergyIntolerance)
• Observation: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-observation)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Attachment Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-attachment)
• Signature (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-signature)

Slices

This structure defines the following Slices:

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

Maturity: 0

Key Elements View

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, same-servicerequest-performer, same-servicerequest-occurrence, coverage-author
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	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:clinicalQuestion.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:appointment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:attachment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry: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)
coverage-author	error	Bundle	If coverage is an insurance company than the author must have filled organization.identifier and specialty.	entry.resource.ofType(Coverage).payor.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/kp') implies (entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).specialty.exists() and entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).organization.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/icp'))
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 imaging order bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
same-servicerequest-occurrence	warning	Bundle	Service requests SHALL have the same occurrence (dateTime or period).	entry.resource.ofType(ServiceRequest).contained.all($this.occurrence = entry.resource.ofType(ServiceRequest).occurrence)
same-servicerequest-performer	warning	Bundle	Service requests SHALL have the same performer.	entry.resource.ofType(ServiceRequest).contained.all($this.performer = entry.resource.ofType(ServiceRequest).performer)

Differential View

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, same-servicerequest-performer, same-servicerequest-occurrence, coverage-author
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)	Description	Expression
coverage-author	error	Bundle	If coverage is an insurance company than the author must have filled organization.identifier and specialty.	entry.resource.ofType(Coverage).payor.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/kp') implies (entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).specialty.exists() and entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).organization.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/icp'))
one-comp	error	Bundle	A imaging order bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
same-servicerequest-occurrence	warning	Bundle	Service requests SHALL have the same occurrence (dateTime or period).	entry.resource.ofType(ServiceRequest).contained.all($this.occurrence = entry.resource.ofType(ServiceRequest).occurrence)
same-servicerequest-performer	warning	Bundle	Service requests SHALL have the same performer.	entry.resource.ofType(ServiceRequest).contained.all($this.performer = entry.resource.ofType(ServiceRequest).performer)

Snapshot View

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, same-servicerequest-performer, same-servicerequest-occurrence, coverage-author
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	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PatientCore, 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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PractitionerCore	Czech Practitioner (core)
entry:practitionerRole	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_PractitionerRoleCore	Czech Practitioner Role (core)
entry: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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_OrganizationCore	Czech Organization (core)
entry: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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CZ_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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	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.
onBehalfOf	Σ	0..1	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core))	The party represented
targetFormat		0..1	code	The technical format of the signed resources Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
sigFormat		0..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
data	S	0..1	base64Binary	Signature content
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:patient.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:patient.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:clinicalQuestion.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:clinicalQuestion.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:appointment.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:appointment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:medication.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:medication.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:condition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:condition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:allergyIntolerance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:observation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:organization.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:attachment.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:attachment.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.signature.type	Base	preferred	Signature Type Codes	📍4.0.1	FHIR Std.
Bundle.signature.targetFormat	Base	required	MimeType	📍4.0.1	FHIR Std.
Bundle.signature.sigFormat	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
bdl-1	error	Bundle	total only when a search or history	total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search	entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited	entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited	entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:patient, Bundle.entry: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)
coverage-author	error	Bundle	If coverage is an insurance company than the author must have filled organization.identifier and specialty.	entry.resource.ofType(Coverage).payor.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/kp') implies (entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).specialty.exists() and entry.resource.ofType(Composition).author.resolve().ofType(PractitionerRole).organization.resolve().ofType(Organization).identifier.where($this.system = 'https://ncez.mzcr.cz/fhir/sid/icp'))
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 imaging order bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
same-servicerequest-occurrence	warning	Bundle	Service requests SHALL have the same occurrence (dateTime or period).	entry.resource.ofType(ServiceRequest).contained.all($this.occurrence = entry.resource.ofType(ServiceRequest).occurrence)
same-servicerequest-performer	warning	Bundle	Service requests SHALL have the same performer.	entry.resource.ofType(ServiceRequest).contained.all($this.performer = entry.resource.ofType(ServiceRequest).performer)

This structure is derived from Bundle

Summary

Mandatory: 6 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• Composition: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-CompositionLabOrder)
• Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
• Patient: Animal (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-animal)
• ServiceRequest: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-serviceRequest)
• Clinical question: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-clinicalQuestion)
• Appointment (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-appointment)
• Specimen (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
• Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
• Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
• Coverage (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-coverage)
• Medication Statement (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement)
• Condition: Lab Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-conditionLab)
• Allergy Intolerance (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-allergyIntolerance)
• Observation: Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-observation)
• Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
• Attachment Laboratory Order (CZ) (https://hl7.cz/fhir/lab-order/StructureDefinition/cz-attachment)
• Signature (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-signature)

Slices

This structure defines the following Slices:

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

Maturity: 0