SMART Health Cards: Vaccination & Testing Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-shc-vaccination-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• JSON

Resource Profile: COVID-19-specific Laboratory Test Results Bundle - Data Minimization

Defines a primary (DM) profile representing a bundle of patient and COVID-19 laboratory testing data for health cards.

See here for implementation details.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints
Bundle		0..*	Bundle	Contains a collection of resources
id	C	0..0
meta		0..0
implicitRules		0..0
language		0..0
identifier		0..0
type	S	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: collection
timestamp		0..0
total		0..0
link		0..0
Slices for entry	S	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource
entry:All Slices				Content/Rules for all slices
id		0..0
extension		0..0
modifierExtension		0..0
link		0..0
fullUrl	S	1..1	uri	Locally unique identifier like resource:0
resource	S	0..1	Resource	A resource in the bundle
search		0..0
request		0..0
response		0..0
entry:patient	S	1..1	BackboneElement	Patient
id		0..0
extension		0..0
modifierExtension		0..0
link		0..0
fullUrl	SC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCPatientGeneralDM	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
search		0..0
request		0..0
response		0..0
entry:labResult	SC	1..*	BackboneElement	Laboratory result vc-bundle-lab-status-complete: Bundle SHALL only include results with status final or status that is subsequent to final.
id		0..0
extension		0..0
modifierExtension		0..0
link		0..0
fullUrl	SC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCCovid19LaboratoryResultObservationDM	Measurements and simple assertions
search		0..0
request		0..0
response		0..0
signature		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
vc-bundle-lab-status-complete	error	Bundle.entry:labResult	Bundle SHALL only include results with status final or status that is subsequent to final. : $this.resource.ofType(Observation).status.lower() in ('final'|'amended'|'corrected')
vc-shall-be-resource-uri	error	Bundle.entry:patient.fullUrl, Bundle.entry:labResult.fullUrl	IDs SHALL use resource:# format : $this.matches('^resource:[0-9]+$')

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
type	SΣ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: collection
Slices for entry	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
fullUrl	SΣ	1..1	uri	Locally unique identifier like resource:0
resource	SΣ	0..1	Resource	A resource in the bundle
entry:patient	SΣC	1..1	BackboneElement	Patient bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCPatientGeneralDM	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
entry:labResult	SΣC	1..*	BackboneElement	Laboratory result bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference vc-bundle-lab-status-complete: Bundle SHALL only include results with status final or status that is subsequent to final. 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
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCCovid19LaboratoryResultObservationDM	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: collection 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:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:labResult.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:labResult	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:patient, Bundle.entry:labResult	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()
vc-bundle-lab-status-complete	error	Bundle.entry:labResult	Bundle SHALL only include results with status final or status that is subsequent to final. : $this.resource.ofType(Observation).status.lower() in ('final'|'amended'|'corrected')
vc-shall-be-resource-uri	error	Bundle.entry:patient.fullUrl, Bundle.entry:labResult.fullUrl	IDs SHALL use resource:# format : $this.matches('^resource:[0-9]+$')

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
type	SΣ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: collection
Slices for entry	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
fullUrl	SΣ	1..1	uri	Locally unique identifier like resource:0
resource	SΣ	0..1	Resource	A resource in the bundle
entry:patient	SΣC	1..1	BackboneElement	Patient bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCPatientGeneralDM	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
entry:labResult	SΣC	1..*	BackboneElement	Laboratory result bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference vc-bundle-lab-status-complete: Bundle SHALL only include results with status final or status that is subsequent to final. 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
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCCovid19LaboratoryResultObservationDM	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: collection http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:labResult.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:labResult.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:labResult	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:patient, Bundle.entry:labResult	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()
vc-bundle-lab-status-complete	error	Bundle.entry:labResult	Bundle SHALL only include results with status final or status that is subsequent to final. : $this.resource.ofType(Observation).status.lower() in ('final'|'amended'|'corrected')
vc-shall-be-resource-uri	error	Bundle.entry:patient.fullUrl, Bundle.entry:labResult.fullUrl	IDs SHALL use resource:# format : $this.matches('^resource:[0-9]+$')

This structure is derived from Bundle

Summary

Mandatory: 7 elements
Must-Support: 8 elements
Fixed: 1 element
Prohibited: 30 elements

Structures

This structure refers to these other structures:

• Patient Profile - General - Data Minimization (http://hl7.org/fhir/uv/shc-vaccination/StructureDefinition/shc-patient-general-dm)
• COVID-19 Laboratory Result Observation Profile - Data Minimization (http://hl7.org/fhir/uv/shc-vaccination/StructureDefinition/shc-covid19-laboratory-result-observation-dm)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Bundle.entry (Closed)

Differential View

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints
Bundle		0..*	Bundle	Contains a collection of resources
id	C	0..0
meta		0..0
implicitRules		0..0
language		0..0
identifier		0..0
type	S	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: collection
timestamp		0..0
total		0..0
link		0..0
Slices for entry	S	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource
entry:All Slices				Content/Rules for all slices
id		0..0
extension		0..0
modifierExtension		0..0
link		0..0
fullUrl	S	1..1	uri	Locally unique identifier like resource:0
resource	S	0..1	Resource	A resource in the bundle
search		0..0
request		0..0
response		0..0
entry:patient	S	1..1	BackboneElement	Patient
id		0..0
extension		0..0
modifierExtension		0..0
link		0..0
fullUrl	SC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCPatientGeneralDM	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
search		0..0
request		0..0
response		0..0
entry:labResult	SC	1..*	BackboneElement	Laboratory result vc-bundle-lab-status-complete: Bundle SHALL only include results with status final or status that is subsequent to final.
id		0..0
extension		0..0
modifierExtension		0..0
link		0..0
fullUrl	SC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCCovid19LaboratoryResultObservationDM	Measurements and simple assertions
search		0..0
request		0..0
response		0..0
signature		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
vc-bundle-lab-status-complete	error	Bundle.entry:labResult	Bundle SHALL only include results with status final or status that is subsequent to final. : $this.resource.ofType(Observation).status.lower() in ('final'|'amended'|'corrected')
vc-shall-be-resource-uri	error	Bundle.entry:patient.fullUrl, Bundle.entry:labResult.fullUrl	IDs SHALL use resource:# format : $this.matches('^resource:[0-9]+$')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
type	SΣ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: collection
Slices for entry	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
fullUrl	SΣ	1..1	uri	Locally unique identifier like resource:0
resource	SΣ	0..1	Resource	A resource in the bundle
entry:patient	SΣC	1..1	BackboneElement	Patient bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCPatientGeneralDM	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
entry:labResult	SΣC	1..*	BackboneElement	Laboratory result bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference vc-bundle-lab-status-complete: Bundle SHALL only include results with status final or status that is subsequent to final. 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
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCCovid19LaboratoryResultObservationDM	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: collection 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:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:labResult.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:labResult	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:patient, Bundle.entry:labResult	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()
vc-bundle-lab-status-complete	error	Bundle.entry:labResult	Bundle SHALL only include results with status final or status that is subsequent to final. : $this.resource.ofType(Observation).status.lower() in ('final'|'amended'|'corrected')
vc-shall-be-resource-uri	error	Bundle.entry:patient.fullUrl, Bundle.entry:labResult.fullUrl	IDs SHALL use resource:# format : $this.matches('^resource:[0-9]+$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource
type	SΣ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Fixed Value: collection
Slices for entry	SΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Closed by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
fullUrl	SΣ	1..1	uri	Locally unique identifier like resource:0
resource	SΣ	0..1	Resource	A resource in the bundle
entry:patient	SΣC	1..1	BackboneElement	Patient bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCPatientGeneralDM	Information about an individual receiving an individual receiving a vaccination or infectious disease-related laboratory test
entry:labResult	SΣC	1..*	BackboneElement	Laboratory result bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference vc-bundle-lab-status-complete: Bundle SHALL only include results with status final or status that is subsequent to final. 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
fullUrl	SΣC	1..1	uri	Locally unique identifier like resource:0 vc-shall-be-resource-uri: IDs SHALL use resource:# format
resource		1..1	SHCCovid19LaboratoryResultObservationDM	Measurements and simple assertions
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: collection http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard
Bundle.entry.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:labResult.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:labResult.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
bdl-1	error	Bundle	total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history')
bdl-2	error	Bundle	entry.search only when a search : entry.search.empty() or (type = 'searchset')
bdl-3	error	Bundle	entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4	error	Bundle	entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5	error	Bundle.entry, Bundle.entry:patient, Bundle.entry:labResult	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:patient, Bundle.entry:labResult	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()
vc-bundle-lab-status-complete	error	Bundle.entry:labResult	Bundle SHALL only include results with status final or status that is subsequent to final. : $this.resource.ofType(Observation).status.lower() in ('final'|'amended'|'corrected')
vc-shall-be-resource-uri	error	Bundle.entry:patient.fullUrl, Bundle.entry:labResult.fullUrl	IDs SHALL use resource:# format : $this.matches('^resource:[0-9]+$')

This structure is derived from Bundle

Summary

Mandatory: 7 elements
Must-Support: 8 elements
Fixed: 1 element
Prohibited: 30 elements

Structures

This structure refers to these other structures:

• Patient Profile - General - Data Minimization (http://hl7.org/fhir/uv/shc-vaccination/StructureDefinition/shc-patient-general-dm)
• COVID-19 Laboratory Result Observation Profile - Data Minimization (http://hl7.org/fhir/uv/shc-vaccination/StructureDefinition/shc-covid19-laboratory-result-observation-dm)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Bundle.entry (Closed)

Other representations of profile: CSV, Excel, Schematron